Individual provider Active NPI

Rosa Elisa Serpas, M.S.

  • Marriage & Family Therapist
  • Pacifica, CA
National Provider Identifier
1568771871
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
63847 Issued in CA
Practice address
450 Manor PLZ
Pacifica, CA 94044-1839
Phone
(650) 355-8787
Fax
(650) 355-8780
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 63847 CA Primary

Addresses

Primary practice location

450 Manor PLZ
Pacifica, CA 94044-1839

Mailing address

2606 Shamrock Dr
San Pablo, CA 94806-1523
Phone (415) 420-5953

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
63847CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1568771871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 SHAMROCK DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061523",
            "telephone_number": "415-420-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MANOR PLZ",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441839",
            "telephone_number": "650-355-8787",
            "fax_number": "650-355-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPAS",
        "first_name": "ROSA",
        "middle_name": "ELISA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "63847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.