Individual provider Active NPI

Feliciano Antonio Serrano II, M.D.

  • Specialist
  • Huntington Park, CA
National Provider Identifier
1649225558
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A88849 Issued in CA
Practice address
7305 Pacific Blvd FL 2
Huntington Park, CA 90255-5736
Phone
(323) 585-6900
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88849 CA
Nephrology Physician 207RN0300X A88849 CA
Vascular Surgery Physician 2086S0129X A88849 CA
Specialist 174400000X A88849 CA Primary

Addresses

Primary practice location

7305 Pacific Blvd FL 2
Huntington Park, CA 90255-5736

Mailing address

7429 3Rd St
Downey, CA 90241-3211
Phone (562) 688-2589

Other identifiers 1

IdentifierTypeStateIssuer
CQ095ZOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000571 CA Practitioner - NephrologyPractitioner - General PracticePractitioner - Vascular SurgeryPractitioner - Internal Medicine 3173588787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine, Vascular Surgery
Education
University of Southern California Keck School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7305 Pacific Blvd
Huntington Park, CA 90255-5736

Hospital & facility affiliations

  • Montebello Artificial Kidney Center Dialysis facility, Montebello, CA, CCN 552640
  • Olympus Home Health Inc Home health agency, Burbank, CA, CCN 559275
  • Homestead Home Health Inc Home health agency, North Hollywood, CA, CCN 757956
  • Empathy Care, Inc. Home health agency, Van Nuys, CA, CCN 757437
  • Only Care Home Health Home health agency, Pasadena, CA, CCN 757297

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88849CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feliciano Serrano, M.D., Inc. Specialist CurrentSince Oct 18, 2009 Accepting new patients
Mid Valley Vascular Center, Inc CurrentSince May 22, 2019 Accepting new patients
Foundation Medical Partners Inc. Past Accepting new patients
Leo Polosajian MD a Professional Med Corp Internal Medicine Past Accepting new patients
Tule River Indian Health Center, Inc. Past Accepting new patients
East la Dialysis Center Past Accepting new patients
Academic Medical Research Institute Inc Nephrology PastSince Mar 27, 2020 Accepting new patients
Nuestra Rehabilitation Center , Inc. Past Accepting new patients
Corinthian Health Care Services, Inc. Past Accepting new patients

Locations

4930 Balboa Blvd
Unit 261278
Encino, CA 91426

7305 Pacific Blvd
Fl 2
Huntington Pk, CA 90255
Phone (323) 585-6900

7305 Pacific Blvd
Huntington Pk, CA 90255
Phone (323) 584-8222

7640 Tampa Ave
Ste 101A
Reseda, CA 91335
Phone (818) 718-1600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1649225558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7429 3RD ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413211",
            "telephone_number": "562-688-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 PACIFIC BLVD FL 2",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555736",
            "telephone_number": "323-585-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "FELICIANO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88849",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A88849",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A88849",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CQ095Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.