Active NPI
Evelyn Jasmine Serrano
- Behavior Analyst
- Fresno, CA
National Provider Identifier
1316425036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12475342
- Practice address
- 5377 N Fresno St Ste 103
Fresno, CA 93710-6875 - Phone
- (559) 405-5602
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12475342 | CA | Primary |
Addresses
Primary practice location
5377 N Fresno St Ste 103
Fresno, CA 93710-6875
Mailing address
1150 Mehlert St
Kingsburg, CA 93631-2417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12475342 | CA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Psychcare, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1316425036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 MEHLERT ST",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936312417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5377 N FRESNO ST STE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937106875",
"telephone_number": "559-405-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "EVELYN",
"middle_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "12475342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.