Active NPI
Gina Serrano
- Physician Assistant
- Oakland, CA
National Provider Identifier
1699662007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 67939
- Practice address
- 450 30TH St
Oakland, CA 94609-3302 - Phone
- (510) 869-9200
- NPI assigned
- Jun 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 67939 | CA | Primary |
Addresses
Primary practice location
450 30TH St
Oakland, CA 94609-3302
Mailing address
3115 13TH Ave
Oakland, CA 94610-4008
Phone (347) 423-5725
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1691 The Alameda
San Jose, CA 95126-2203
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67939 | CA | MD | Social Worker |
Organizations & group practices 1
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.
-
- Community Health Clinic/Center
- Stockton, CA
- NPI 1174579957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1699662007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 13TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104008",
"telephone_number": "347-423-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 30TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093302",
"telephone_number": "510-869-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERRANO",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-19",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "67939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.