Grace O Serrano, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36627 Issued in CA

Practice address

4146 Verdugo Rd
Los Angeles, CA 90065

Phone

(323) 258-4840

Fax

(323) 258-4050

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Varand Kerikorian, DDS a Professional Dental Corp

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1720914575
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154475382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4146 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653821",
            "telephone_number": "323-258-4840",
            "fax_number": "323-258-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 VERDUGO RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90065",
            "telephone_number": "323-258-4840",
            "fax_number": "323-258-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "GRACE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dom Serrano
• Elizabeth Serrano
• Emily Serrano
• Fabiola Serrano
• Frances Serrano
• Ilce Serrano
• Jaime Serrano
• Janet Serrano, B.A.
• Jessica Isabel Serrano
• Jonathan Serrano

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.