Individual provider Active NPI

David Serrano, MD

  • Diagnostic Radiology Physician
  • French Camp, CA
National Provider Identifier
1417480336
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A184704 Issued in CA
Practice address
500 W Hospital Rd
French Camp, CA 95231-9693
Phone
(209) 647-2184
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A184704 CA Primary
Diagnostic Radiology Physician 2085R0202X 125.071627 IL

Addresses

Primary practice location

500 W Hospital Rd
French Camp, CA 95231-9693

Mailing address

250 Cherry LN Ste 116
Manteca, CA 95337-4398

Other practice location 1

8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (626) 673-7304

Other practice location 2

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-9000

Other practice location 3

6410 Fannin St Ste 1014
Houston, TX 77030-5301
Phone (713) 500-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, TX, HI4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230417001545 CA Practitioner - Diagnostic Radiology 3476802166 Reassigns benefits to 10 organizations
I20240126001450 IL Practitioner - Diagnostic Radiology 3476802166 Reassigns benefits to 3 organizations
I20240131002334 TX Practitioner - Diagnostic Radiology 3476802166 Reassigns benefits to 1 organization
I20250829003293 HI Practitioner - Diagnostic Radiology 3476802166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians
County of San JoaquinGroup PAC ID 6002703436, shared by 11 NPIs, 199 clinicians
Lodi Memorial Hospital Association IncGroup PAC ID 7618880717, 73 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 647-2184

219 S Cuyler Ave
Oak Park, IL 60302-3301
Phone (209) 647-2184

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

92 -1097 Koio Dr
M 335
Kapolei, HI 96707-2296
Phone (209) 647-2184

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
53.98 of 100Reported as group
Quality
11.8
Promoting interoperability
74
Improvement activities
0
Cost
82.7

Merit-based Incentive Payment System (MIPS)

Final score
71.84 of 100Reported as group
Quality
41.46
Improvement activities
40
Cost
87.23

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184704CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince May 2, 2023 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
County of Santa Clara CurrentSince May 2, 2023 Accepting new patients
County of Santa Clara Family Medicine Current Accepting new patients
County of San Joaquin CurrentSince Oct 31, 2023 Accepting new patients
County of San Joaquin CurrentSince Nov 21, 2023 Accepting new patients
County of Santa Clara CurrentSince May 2, 2023 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 16, 2026 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Oct 31, 2023 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
San Joaquin Behavioral Health Services Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Nov 13, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Apr 16, 2026 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Loyola University Medical Center Current Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince May 2, 2023 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

Interoperability endpoints

  • Direct secure messaging: dserrano93463@direct.luhs.org

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1417480336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 116",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W HOSPITAL RD",
            "city": "FRENCH CAMP",
            "state": "CA",
            "postal_code": "952319693",
            "telephone_number": "209-647-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Walnut Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314426",
            "country_code": "US",
            "telephone_number": "626-673-7304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "60153",
            "country_code": "US",
            "telephone_number": "708-216-9000",
            "fax_number": "708-216-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Fannin St Ste 1014",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770305301",
            "country_code": "US",
            "telephone_number": "713-500-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A184704",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.071627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in French Camp, CA

Sources for this page

Verify at the official NPI Registry.