Active NPI
Oscar Isaac Sermeno
- Mental Health Counselor
- Oxnard, CA
National Provider Identifier
1366875189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1911 Williams Dr Ste 200
Oxnard, CA 93036-0673 - Phone
- (805) 981-6830
- NPI assigned
- Aug 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1911 Williams Dr Ste 200
Oxnard, CA 93036-0673
Mailing address
1074 W 134TH PL
Gardena, CA 90247-1913
Phone (323) 915-4769
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1366875189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 W 134TH PL",
"city": "GARDENA",
"state": "CA",
"postal_code": "902471913",
"telephone_number": "323-915-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 WILLIAMS DR STE 200",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360673",
"telephone_number": "805-981-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERMENO",
"first_name": "OSCAR",
"middle_name": "ISAAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-15",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.