Individual provider Active NPI

Joseph Anthony Serna, M.D.

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1174612279
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A46617 Issued in CA
Practice address
2620 S Bristol St Ste B
Santa Ana, CA 92704-5727
Phone
(714) 545-5503
Fax
(714) 545-5509
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A46617 CA Primary

Addresses

Primary practice location

2620 S Bristol St Ste B
Santa Ana, CA 92704-5727

Mailing address

2620 S Bristol St Ste B
Santa Ana, CA 92704-5727
Phone (714) 545-5503

Other identifiers 1

IdentifierTypeStateIssuer
00A466170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000124 CA Practitioner - Family PracticePractitioner - General Practice 6800930553 Practice locations: Santa Ana, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
National Medical University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1220 W Hemlock Way
Suite 112
Santa Ana, CA 92707-3650
Phone (714) 545-5503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46617CAMDGeneral Practice Dentistry
A46617CAMDGeneral Practice Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1174612279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S BRISTOL ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045727",
            "telephone_number": "714-545-5503",
            "fax_number": "714-545-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S BRISTOL ST STE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045727",
            "telephone_number": "714-545-5503",
            "fax_number": "714-545-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A46617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A466170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.