Active NPI
Silvia Iris Serna, LMFT
- Marriage & Family Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1417350091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97863
- Practice address
- 9479 Haven Avenue
Rancho Cucamonga, CA 91730 - Phone
- (909) 771-8023
- Fax
- (909) 989-0606
- NPI assigned
- Sep 26, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF74081 | CA | |
| Marriage & Family Therapist | 106H00000X | 97863 | CA | Primary |
Addresses
Primary practice location
9479 Haven Avenue
Rancho Cucamonga, CA 91730
Mailing address
9479 Haven Avenue
Rancho Cucamonga, CA 91730
Phone (909) 771-8023
Other names 1
- Silvia Iris Caraballo
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 |
|---|---|---|---|
| 97863 | CA | MD | Marriage & Family Therapist |
| IMF74081 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1417350091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9479 HAVEN AVENUE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-771-8023",
"fax_number": "909-989-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9479 HAVEN AVENUE",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "91730",
"telephone_number": "909-771-8023",
"fax_number": "909-989-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "SILVIA",
"middle_name": "IRIS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF74081",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SILVIA",
"last_name": "CARABALLO",
"middle_name": "IRIS",
"credential": "MFTI",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.