Individual provider Active NPI

Serena Noelani Avila-Cortes, DO

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1285217539
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20423 Issued in CA
Practice address
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
Phone
(626) 732-8391
NPI assigned
May 4, 2021
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A20423 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921

Mailing address

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 765-4848

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
I20240926001938 CA Practitioner - Family Practice 8022559392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 E Holt Ave
Suite a
Pomona, CA 91767-5823
Phone (909) 623-3600

570 S Mount Vernon Ave
Suite G
San Bernardino, CA 92410-2737
Phone (909) 884-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20423CAMDProfessional Counselor
20A20423CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center, Inc. CurrentSince Sep 26, 2025 Accepting new patients
Obhg California, P.C. Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Oct 1, 2024 Accepting new patients
Unicare Community Health Center Inc Current Accepting new patients
Unicare Community Health Center, Inc. CurrentSince Sep 26, 2025 Accepting new patients
Samir E. Hage, D.O., Inc. Past Accepting new patients

Locations

18300 Outer Highway 18
Apple Valley, CA 92307
Phone (760) 946-8873

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

308 N La Cadena Dr
Colton, CA 92324
Phone (909) 321-0700

107 N McKinley St
Corona, CA 92879
Phone (951) 358-0141

1041 W Badillo St
Ste 104
Covina, CA 91722
Phone (626) 732-4168

1151 E Walnut St
Ontario, CA 91761
Phone (909) 467-0797

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

570 S Mount Vernon Ave
Ste G
San Bernardino, CA 92410
Phone (909) 884-6700

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

1135 S Sunset Ave
West Covina, CA 91790
Phone (626) 483-2150

1135 S Sunset Ave
Ste 206
West Covina, CA 91790
Phone (626) 338-3788

1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: serena.avilacortes.p1@direct.evchc.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1285217539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "951-765-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 401",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903921",
            "telephone_number": "626-732-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA-CORTES",
        "first_name": "SERENA",
        "middle_name": "NOELANI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.