Pablo Serrano Jr.

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

5500 Grossmont Center Dr Ste 141
La Mesa, CA 91942-3070

Phone

(619) 433-4466

NPI assigned

May 4, 2011

Last updated

Feb 4, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ginos Wide Shoes & Shoe Repair

  • Durable Medical Equipment & Medical Supplies
  • La Mesa, CA
  • NPI 1073464350
  NPD Authorized official

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1699067918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 141",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 GROSSMONT CENTER DR STE 141",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423070",
            "telephone_number": "619-433-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "PABLO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Coast Living, LLC (Coastal Injury Care Center)
• Meghan Seperack, IBCLC
• Alicia Sepulveda
• James Paul Serio, M.A., MFT
• Stanley Serisola
• Nathan Serrato
• Scott Clark Sessions, M.D.
• Seykat Corp (shasta home)
• Seymour Mallis, M.D., P.C.
• Erin Smith Shaffer, CMT

• Orthotic Fitter in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Orthotic Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.