Active NPI
Jorge A Serna, PHYSICIAN ASSISTANT
- Physician Assistant
- Bell Gardens, CA
National Provider Identifier
1518995232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 13561
- Practice address
- 5873 Florence Ave
Bell Gardens, CA 90201-4610 - Phone
- (323) 562-6000
- Fax
- (323) 562-6009
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 13561 | CA | Primary |
Addresses
Primary practice location
5873 Florence Ave
Bell Gardens, CA 90201-4610
Mailing address
5873 E. Florence Ave.
Bell Gardens, CA 90201
Phone (323) 562-6000
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 13561 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Medica Teocali | 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.
-
- Family Medicine Physician
- Bell Gardens, CA
- NPI 1437277597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461628800000",
"number": "1518995232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5873 E. FLORENCE AVE.",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "90201",
"telephone_number": "323-562-6000",
"fax_number": "323-562-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5873 FLORENCE AVE",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "902014610",
"telephone_number": "323-562-6000",
"fax_number": "323-562-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERNA",
"first_name": "JORGE",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2016-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 13561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bell Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.