Active NPI
Angela Marie Serrano, R. EEG T
- EEG Technician
- San Francisco, CA
National Provider Identifier
1386379048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Technician
- License
- 523
- Practice address
- 450 6TH Ave
San Francisco, CA 94118-3010 - Phone
- (415) 833-3630
- NPI assigned
- Jul 18, 2022
- 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 |
|---|---|---|---|---|
| EEG Technician | 2472E0500X | 523 | CA | Primary |
Addresses
Primary practice location
450 6TH Ave
San Francisco, CA 94118-3010
Mailing address
150 Desmond St
San Francisco, CA 94134-2908
Phone (415) 235-3515
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 |
|---|---|---|---|
| 523 | CA | MD | EEG Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1386379048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 DESMOND ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941342908",
"telephone_number": "415-235-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 6TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183010",
"telephone_number": "415-833-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "ANGELA",
"middle_name": "MARIE",
"credential": "R. EEG T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2472E0500X",
"taxonomy_group": "",
"desc": "Technician, Other, EEG",
"state": "CA",
"license": "523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.