Active NPI
Serena Sciallo
- Registered Dietitian
- Camarillo, CA
National Provider Identifier
1659065316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- SERENA SCIALLO
- Doing business as
- Serena of California
- Practice address
- 2405 Conroy Ave
Camarillo, CA 93012-8964 - Phone
- (310) 415-1446
- NPI assigned
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Serena Sciallo
- Title
- Owner
- Phone
- (310) 415-1446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2405 Conroy Ave
Camarillo, CA 93012-8964
Mailing address
2405 Conroy Ave
Camarillo, CA 93012-8964
Phone (310) 415-1446
Other names 1
- Serena of California
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1659065316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 CONROY AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128964",
"telephone_number": "310-415-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 CONROY AVE",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128964",
"telephone_number": "310-415-1446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENA SCIALLO",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "SCIALLO",
"authorized_official_first_name": "SERENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-415-1446"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Serena of California",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.