Serena Puga, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A101321 Issued in CA

Practice address

420 S Beverly Dr
Suite 207
Beverly Hills, CA 90212-4426

Phone

(310) 228-7880

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Pacific Heritage Medical Group Inc

  • Geriatric Psychiatry Physician
  • Westlake Village, CA
  • NPI 1467899450
  Medicare reassignment

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1669671962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR",
            "address_2": "SUITE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124426",
            "telephone_number": "310-228-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S BEVERLY DR",
            "address_2": "SUITE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124426",
            "telephone_number": "310-228-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGA",
        "first_name": "SERENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A101321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1013210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psla
• Psychbright Health
• Psychology Behavioral Health, PC (PBH Health)
• Publius Anesthesia Consultants
• Elizabeth Jennifer Puels, PMHNP
• Mickeal Pugh Jr., PHD
• Lisa E Pulver, CRNA
• Daniel Hock Puneky, M.D.
• Pure Motion PT
• Pure Skin of Beverly Hills Inc

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.