Individual provider Active NPI

Sandra Serrano, RAS

  • Counselor
  • Woodland, CA
National Provider Identifier
1427179290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
S0502181644 Issued in CA
Practice address
178 W Beamer St
14 N. Cottonwood Street
Woodland, CA 95695-2663
Phone
(530) 666-8658
Fax
(530) 666-8663
NPI assigned
Apr 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X S0502181644 CA Primary

Addresses

Primary practice location

178 W Beamer St
14 N. Cottonwood Street
Woodland, CA 95695-2663

Mailing address

178 W Beamer St
14 N. Cottonwood Street
Woodland, CA 95695-2663
Phone (530) 666-8658

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

LicenseStateTypeSpecialty
S0502181644CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427179290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 W BEAMER ST",
            "address_2": "14 N. COTTONWOOD STREET",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952663",
            "telephone_number": "530-666-8658",
            "fax_number": "530-666-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 W BEAMER ST",
            "address_2": "14 N. COTTONWOOD STREET",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952663",
            "telephone_number": "530-666-8658",
            "fax_number": "530-666-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "RAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "S0502181644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.