Active NPI
John H. Serocki, MD, Apc
- Orthopaedic Surgery Physician
- La Jolla, CA
National Provider Identifier
1487840583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- JOHN H. SEROCKI, MD, APC
- Practice address
- 9834 Genesee Ave #228
La Jolla, CA 92037 - Phone
- (858) 824-1703
- NPI assigned
- Sep 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Teresa Burmil
- Title
- Manager
- Phone
- (858) 824-1703
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Trauma Physician | 207XX0801X |
Addresses
Primary practice location
9834 Genesee Ave #228
La Jolla, CA 92037
Mailing address
9834 Genesee Ave #228
La Jolla, CA 92037
Phone (858) 824-1703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOG589110 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
9834 Genesee Ave
Ste 228
La Jolla, CA 92037
Phone (858) 455-9942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190332800000",
"number": "1487840583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9834 GENESEE AVE #228",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-824-1703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9834 GENESEE AVE #228",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-824-1703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN H. SEROCKI, MD, APC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-21",
"last_updated": "2007-09-21",
"status": "A",
"authorized_official_last_name": "BURMIL",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "858-824-1703",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOG589110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.