Sereno Esponilla

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT303142 Issued in CA

Practice address

3532 Alameda de Las Pulgas
Menlo Park, CA 94025-6510

Phone

(650) 561-9589

NPI assigned

Jan 4, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1417619008

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Burlingame, CA
  • NPI 1013670652
  NPD
• Select Cal Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Morgan Hill, CA
  • NPI 1487317004

  Orthopedic

  NPD

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1245943281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 BAYVIEW AVE",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 ALAMEDA DE LAS PULGAS",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256510",
            "telephone_number": "650-561-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPONILLA",
        "first_name": "SERENO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT303142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enhance Psychological Services
• Tanya Erazo, PH.D.
• Nina Clark Ericson, PH.D.
• Heidemarie Ernst, M.D.
• Edna Marie Esnil, PSY.D.
• Eunhae Park Kwon, DDS, Inc
• Eusomniamd
• Alexandra Evans
• Jourdan Evans
• Caitlin Ewing, LCSW

• Orthopedic Physical Therapist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.