Lilian Jannet Serpas, MPH, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57626 Issued in CA

Practice address

12212 W Washington Blvd
Los Angeles, CA 90066-5508

Phone

(310) 391-5241

NPI assigned

Jan 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1579392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1396375390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 W 163RD ST",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602821",
            "telephone_number": "310-957-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12212 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665508",
            "telephone_number": "310-391-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPAS",
        "first_name": "LILIAN",
        "middle_name": "JANNET",
        "credential": "MPH, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-19",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieta Serobyan
• Ariel Seroussi, M.D.
• John Gregory Serpa, PHD
• Serpah Medical PC
• Stacy Serpas-Hernandez, LMFT
• Dee Jay Serpaz, RN
• Jasmine Serpen
• Maurizio Massimo Serra
• Serrand Medical Center Pharmacy
• Sandra Serrano Canete

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.