Active NPI
Alexandra Serpa
- Other Technician
- Modesto, CA
National Provider Identifier
1407354541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 13-1131
- Practice address
- 2116 E Orangeburg Ave Ste a
Modesto, CA 95355-3370 - Phone
- (209) 577-1411
- Fax
- (209) 577-1236
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 13-1131 | CA | Primary |
Addresses
Primary practice location
2116 E Orangeburg Ave Ste a
Modesto, CA 95355-3370
Mailing address
1909 Woodland Ave
Modesto, CA 95358-1332
Phone (209) 606-4203
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 |
|---|---|---|---|
| 13-1131 | CA | MD | Other Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric L Giang DO Inc a Professional Corporation | 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.
-
- Orthopaedic Surgery Physician
- Modesto, CA
- NPI 1770108771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1407354541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 WOODLAND AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953581332",
"telephone_number": "209-606-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 E ORANGEBURG AVE STE A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553370",
"telephone_number": "209-577-1411",
"fax_number": "209-577-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERPA",
"first_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "CA",
"license": "13-1131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.