Active NPI
Noel Serrano MD PC
- Internal Medicine Physician
- Oakland, CA
National Provider Identifier
1154010072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NOEL SERRANO MD PC
- Practice address
- 6117 Fairlane Dr
Oakland, CA 94611-1807 - Phone
- (707) 535-9279
- NPI assigned
- May 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noel Serrano, MD
- Title
- Owner
- Phone
- (707) 535-9279
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
6117 Fairlane Dr
Oakland, CA 94611-1807
Mailing address
PO Box 16309
Jacksonville, FL 32245-6309
Other practice location 1
45 Professional Center Pkwy
San Rafael, CA 94903-2702
Phone (707) 535-9279
Other practice location 2
1527 Springs Rd
Vallejo, CA 94591-5448
Phone (707) 643-2267
Other practice location 3
1044 Heartwood Ave
Vallejo, CA 94591-5637
Phone (707) 643-2267
Other practice location 4
347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 535-9279
Other practice location 5
1250 Broadway
Sonoma, CA 95476-7500
Phone (707) 535-9279
Other practice location 6
300 Cherry Creek Rd
Cloverdale, CA 95425-3811
Phone (707) 535-9279
Other practice location 7
705 Trancas St
Napa, CA 94558-3014
Phone (707) 535-9279
Other practice location 8
3275 Villa Ln
Napa, CA 94558-3016
Phone (707) 535-9279
Other practice location 9
450 Hayes Ln
Petaluma, CA 94952-4010
Phone (707) 535-9279
Other practice location 10
1035 Hwy 116 S
Sebastopol, CA 95472-4865
Phone (707) 535-9279
Other practice location 11
446 Arrowood Dr
Santa Rosa, CA 95407-7503
Phone (707) 535-9279
Other practice location 12
850 Sonoma Ave
Santa Rosa, CA 95404-4715
Phone (707) 535-9279
Other practice location 13
300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720
Phone (707) 535-9279
Other practice location 14
40 Professional Center Pkwy
San Rafael, CA 94903-2703
Phone (707) 535-9279
Other practice location 15
300 Douglas St
Petaluma, CA 94952-2503
Phone (707) 535-9279
Other practice location 16
260 Hospital Dr
Ukiah, CA 95482-4568
Phone (707) 535-9279
Other practice location 17
523 Hayes Ln
Petaluma, CA 94952-4011
Phone (707) 535-9279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240103003281 | CA | Part B Supplier - Clinic/Group Practice | 6800246893 |
Receives reassigned benefits from 8 practitioners Practice locations: Petaluma, CA; Vallejo, CA; Sonoma, CA; Sebastopol, CA; Santa Rosa, CA; San Rafael, CA; Oakland, CA; Napa, CA… |
National Provider Directory
National Provider DirectoryLocations
1035 Hwy 116 S
Sebastopol, CA 95472
Phone (707) 823-7675
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- American Canyon, CA
- NPI 1174092902
CA, Family
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1790929966
CA, Internal Medicine
-
- Podiatrist
- Santa Rosa, CA
- NPI 1609979822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1154010072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16309",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322456309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6117 FAIRLANE DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111807",
"telephone_number": "707-535-9279"
}
],
"practiceLocations": [
{
"address_1": "45 Professional Center Pkwy",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949032702",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1527 Springs Rd",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945915448",
"country_code": "US",
"telephone_number": "707-643-2267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1044 Heartwood Ave",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945915637",
"country_code": "US",
"telephone_number": "707-643-2267",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "347 Andrieux St",
"address_purpose": "LOCATION",
"city": "Sonoma",
"state": "CA",
"postal_code": "954766811",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Broadway",
"address_purpose": "LOCATION",
"city": "Sonoma",
"state": "CA",
"postal_code": "954767500",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Cherry Creek Rd",
"address_purpose": "LOCATION",
"city": "Cloverdale",
"state": "CA",
"postal_code": "954253811",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 Trancas St",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945583014",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3275 Villa Ln",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945583016",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Hayes Ln",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949524010",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 Hwy 116 S",
"address_purpose": "LOCATION",
"city": "Sebastopol",
"state": "CA",
"postal_code": "954724865",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "446 Arrowood Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954077503",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Sonoma Ave",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954044715",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Fountaingrove Pkwy",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954035720",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "40 Professional Center Pkwy",
"address_purpose": "LOCATION",
"city": "San Rafael",
"state": "CA",
"postal_code": "949032703",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Douglas St",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949522503",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "260 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954824568",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "523 Hayes Ln",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949524011",
"country_code": "US",
"telephone_number": "707-535-9279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOEL SERRANO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-05",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "SERRANO",
"authorized_official_first_name": "NOEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-535-9279",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.