Individual provider Active NPI

Rogelio Serrano, LMFT

  • Marriage & Family Therapist
  • Orange, CA
National Provider Identifier
1285895110
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42176 Issued in CA
Practice address
1940 W Orangewood Ave
Suite 101
Orange, CA 92868-2009
Phone
(714) 437-7693
Fax
(714) 744-1830
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC42176 CA Primary

Addresses

Primary practice location

1940 W Orangewood Ave
Suite 101
Orange, CA 92868-2009

Mailing address

1940 W Orangewood Ave
Suite 101
Orange, CA 92868-2009
Phone (714) 437-7693

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606000876 CA Practitioner - Clinical Psychologist 6608318654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Health Psychologists IncGroup PAC ID 4688990260, 59 clinicians

Practice addresses (Care Compare)

15635 Alton Pkwy
Suite 350
Irvine, CA 92618-7333
Phone (949) 528-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC42176CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Health Psychologists, Inc. CurrentSince May 1, 2024 Accepting new patients
Kamala Thomas Psychological Services Corp CurrentSince May 1, 2024 Accepting new patients

Locations

15635 Alton Pkwy
Ste 350
Irvine, CA 92618
Phone (949) 528-6300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1285895110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE",
            "address_2": "SUITE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682009",
            "telephone_number": "714-437-7693",
            "fax_number": "714-744-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 W ORANGEWOOD AVE",
            "address_2": "SUITE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682009",
            "telephone_number": "714-437-7693",
            "fax_number": "714-744-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ROGELIO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.