Individual provider Active NPI

Alina Seratt, PA-C

  • Medical Physician Assistant
  • Yucaipa, CA
National Provider Identifier
1316492754
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
53963 Issued in CA
Practice address
33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone
(909) 797-8900
NPI assigned
Aug 15, 2016
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 53963 CA Primary

Addresses

Primary practice location

33494 Oak Glen Rd
Yucaipa, CA 92399-2057

Mailing address

33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 797-8900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001765 CA Practitioner - Physician Assistant 5991080723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1181 S Mount Vernon Ave
Colton, CA 92324-4208
Phone (909) 639-8800

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 596-6349

301 W Redlands Blvd
Redlands, CA 92373-4633
Phone (909) 335-1900

33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 797-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Feb 11, 2017 Accepting new patients
Southern California Emergency Medicine CurrentSince Feb 11, 2017 Accepting new patients

Locations

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Organizations & group practices 3

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1316492754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33494 OAK GLEN RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992057",
            "telephone_number": "909-797-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33494 OAK GLEN RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992057",
            "telephone_number": "909-797-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERATT",
        "first_name": "ALINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.