Active NPI
Antonio Serrano
- Community Health Worker
- Victorville, CA
National Provider Identifier
1538064241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 15497 W Sand St
Victorville, CA 92392-2910 - Phone
- (442) 327-9311
- Fax
- (442) 327-9315
- NPI assigned
- Oct 12, 2026
- Last updated
- Oct 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | CA | Primary |
Addresses
Primary practice location
15497 W Sand St
Victorville, CA 92392-2910
Mailing address
15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1538064241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15497 W SAND ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922910",
"telephone_number": "442-327-9311",
"fax_number": "442-327-9315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15497 W SAND ST",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922910",
"telephone_number": "442-327-9311",
"fax_number": "442-327-9315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "ANTONIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-12",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.