Serene Health Ipa

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SERENE HEALTH IPA

Practice address

3625 Ruffin Rd Ste 204
San Diego, CA 92123-1832

Phone

(844) 737-3638

Fax

(619) 403-9496

NPI assigned

Mar 26, 2024

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Oscar Medina

Title

Ceo

Phone

(619) 259-6999

Specialties & licenses 14

Addresses

Other identifiers 1

Tax ID family

Serene Health Ipa Medical Corp19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Ramon, CA
  • NPI 1174275374
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Antioch, CA
  • NPI 1225757263
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Riverside, CA
  • NPI 1326703752
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Centro, CA
  • NPI 1376207829
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulare, CA
  • NPI 1487319844
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anaheim, CA
  • NPI 1558026997
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cerritos, CA
  • NPI 1639833197
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Apple Valley, CA
  • NPI 1659037612
  NPD tax ID
• Serene Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
  • NPI 1942965389
  NPD tax ID
• Serene Health Ipa

  • Psychiatry Physician
  • Ukiah, CA
  • NPI 1336918135
  NPD tax ID
• Serene Health Ipa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Watsonville, CA
  • NPI 1457198566
  NPD tax ID
• Serene Health Ipa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Placerville, CA
  • NPI 1720824006
  NPD tax ID

Locations

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1528818937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 RONSON CT STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111805",
            "telephone_number": "844-737-3638",
            "fax_number": "619-403-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231832",
            "telephone_number": "844-737-3638",
            "fax_number": "619-403-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE HEALTH IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-259-6999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214EN118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Daniel Sereda
• Jacqueline Elizabeth Serena, M.D.
• Brittany Ann Serences, FNP
• Serene Health
• Serene Health Group LLC
• Serenity Mindfulness Therapy
• Serenity Therapy and Counseling
• Serenity Village LLC
• Serenova Health Group LLC
• Demetria Serfas

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.