Individual provider Active NPI

Elisa Serrano, DPT

  • Physical Therapist
  • Del Mar, CA
National Provider Identifier
1538890504
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302135 Issued in CA
Practice address
12865 Pointe del Mar Way Ste 200
Del Mar, CA 92014-3860
Phone
(858) 535-1894
Fax
(858) 535-1863
NPI assigned
Jun 21, 2022
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 302135 CA Primary

Addresses

Primary practice location

12865 Pointe del Mar Way Ste 200
Del Mar, CA 92014-3860

Mailing address

12865 Pointe del Mar Way Ste 200
Del Mar, CA 92014-3860
Phone (858) 535-1894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727003013 CA Practitioner - Physical Therapist in Private Practice 3779965470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Specialists Outpatient LLCGroup PAC ID 6507254497, shared by 6 NPIs, 46 clinicians
Creamer Physical Therapy IncGroup PAC ID 4385800275, 5 clinicians

Practice addresses (Care Compare)

National City, CA 91950
Phone (619) 475-5040

Saratoga, CA 95070
Phone (408) 741-7122

7946 Ivanhoe Ave
Suite 110
La Jolla, CA 92037-4516
Phone (858) 551-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
302135CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Rehab Specialists Outpatient, LLC Physical Therapist Current Accepting new patients
Creamer Physical Therapy Inc. Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Jun 27, 2022 Accepting new patients
Torrey Pines Orthopaedic Medical Group Inc Physical Therapist CurrentSince Jun 27, 2022 Accepting new patients
On Site Dermatology of California PC Past Accepting new patients

Locations

12865 Pointe del Mar Way
Ste 200
Del Mar, CA 92014
Phone (858) 535-1075

7946 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 551-8882

9850 Genesee Ave
Ste 210
La Jolla, CA 92037
Phone (858) 535-1075

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1538890504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY STE 200",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "858-535-1894",
            "fax_number": "858-535-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY STE 200",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "858-535-1894",
            "fax_number": "858-535-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ELISA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.