Individual provider Active NPI

Noel Serrano, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1700925211
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A108658 Issued in CA
Practice address
6117 Fairlane Dr
Oakland, CA 94611-1807
Phone
(707) 535-9279
Fax
(707) 303-8301
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-112248 IL
Internal Medicine Physician 207R00000X A108658 CA Primary

Addresses

Primary practice location

6117 Fairlane Dr
Oakland, CA 94611-1807

Mailing address

PO Box 16309
Jacksonville, FL 32245-6309

Other practice location 1

1044 Heartwood Ave
Vallejo, CA 94591-5637
Phone (707) 535-9279

Other practice location 2

446 Arrowood Dr
Santa Rosa, CA 95407-7503
Phone (707) 535-9279

Other practice location 3

1250 Broadway
Sonoma, CA 95476-7500
Phone (707) 535-9279

Other practice location 4

1035 Hwy 116 S
Sebastopol, CA 95472-4865
Phone (707) 535-9279

Other practice location 5

1527 Springs Rd
Vallejo, CA 94591-5448
Phone (707) 535-9279

Other practice location 6

300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720
Phone (707) 535-9279

Other practice location 7

300 Douglas St
Petaluma, CA 94952-2503
Phone (707) 535-9279

Other practice location 8

45 Professional Center Pkwy
San Rafael, CA 94903-2702
Phone (707) 535-9279

Other practice location 9

850 Sonoma Ave
Santa Rosa, CA 95404-4715
Phone (707) 535-9279

Other practice location 10

3275 Villa Ln
Napa, CA 94558-3016
Phone (707) 535-9279

Other practice location 11

450 Hayes Ln
Petaluma, CA 94952-4010
Phone (707) 535-9279

Other practice location 12

523 Hayes Ln
Petaluma, CA 94952-4011
Phone (707) 535-9279

Other practice location 13

300 Cherry Creek Rd
Cloverdale, CA 95425-3811
Phone (707) 535-9279

Other practice location 14

705 Trancas St
Napa, CA 94558-3014
Phone (707) 535-9279

Other practice location 15

260 Hospital Dr
Ukiah, CA 95482-4568
Phone (707) 535-9279

Other practice location 16

40 Professional Center Pkwy
San Rafael, CA 94903-2703
Phone (707) 535-9279

Other practice location 17

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 535-9279

Other identifiers 1

IdentifierTypeStateIssuer
036-112248OtherILLIC PHY

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
I20100902000739 CA Practitioner - Internal Medicine 4789636325 Reassigns benefits to 2 organizations
Practice locations: Santa Rosa, CA; Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Noel Serrano MD PCGroup PAC ID 6800246893, 8 clinicians

Practice addresses (Care Compare)

1250 Broadway
Sonoma, CA 95476-7500
Phone (707) 535-9279

1527 Springs Rd
Vallejo, CA 94591-5448
Phone (707) 535-9279

300 Cherry Creek Rd
Cloverdale, CA 95425-3811
Phone (707) 535-9279

300 Douglas St
Petaluma, CA 94952-2503
Phone (707) 535-9279

300 Fountaingrove Pkwy
Santa Rosa, CA 95403-5720
Phone (707) 535-9279

3275 Villa LN
Napa, CA 94558-3016
Phone (707) 535-9279

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 535-9279

40 Professional Ctr Pkwy
San Rafael, CA 94903-2703
Phone (707) 535-9279

450 Hayes LN
Petaluma, CA 94952-4010
Phone (707) 535-9279

523 Hayes LN
Petaluma, CA 94952-4011
Phone (707) 535-9279

6117 Fairlane Dr
Oakland, CA 94611-1807
Phone (707) 535-9279

Hospital & facility affiliations

  • Blize Healthcare Home health agency, Hercules, CA, CCN 059354
  • Athome Healthcare Team, LLC Home health agency, American Canyon, CA, CCN 059644
  • By the Bay Health Hospice, Larkspur, CA, CCN 051508
  • Sutter Care at Home Hospice, Alameda, CA, CCN 051555
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Napa Valley Care Center Nursing home, Napa, CA, CCN 555161
  • Cloverdale Healthcare Center Nursing home, Cloverdale, CA, CCN 055756
  • Napa Post Acute Nursing home, Napa, CA, CCN 056153
  • Apple Valley Post-Acute Rehab Nursing home, Sebastopol, CA, CCN 055919
  • Broadway Villa Post Acute Nursing home, Sonoma, CA, CCN 055987

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108658CAMDInternal Medicine Physician
036-112248ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 29, 2010 Accepting new patients
Noel Serrano MD PC Internal Medicine CurrentSince Aug 23, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Internal Medicine CurrentSince Jun 29, 2010 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
A.V.C.H., Inc. Past Accepting new patients

Locations

300 Cherry Creek Rd
Cloverdale, CA 95425
Phone (707) 854-5201

3275 Villa Ln
Napa, CA 94558
Phone (707) 257-0931

705 Trancas St
Napa, CA 94558
Phone (707) 255-6060

1565 Hill Rd
Novato, CA 94947
Phone (415) 461-9700

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

523 Hayes Ln
Petaluma, CA 94952
Phone (707) 763-2457

300 Douglas St
Petaluma, CA 94952
Phone (415) 945-1010

450 Hayes Ln
Petaluma, CA 94952
Phone (707) 778-8686

40 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-1230

45 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-3610

850 Sonoma Ave
Santa Rosa, CA 95404
Phone (707) 544-7750

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

446 Arrowood Dr
Santa Rosa, CA 95407
Phone (707) 528-2100

1280 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 539-1515

300 Fountaingrove Pkwy
Santa Rosa, CA 95403
Phone (707) 359-5005

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

3751 Montgomery Dr
Santa Rosa, CA 95405
Phone (253) 212-7129

500 Doyle Park Dr
Ste 303
Santa Rosa, CA 95405
Phone (707) 303-8300

1035 Hwy 116 S
Sebastopol, CA 95472
Phone (707) 823-7675

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1250 Broadway
Sonoma, CA 95476
Phone (707) 938-8406

260 Hospital Dr
Ukiah, CA 95482
Phone (707) 463-7378

1527 Springs Rd
Vallejo, CA 94591
Phone (707) 551-4773

1044 Heartwood Ave
Vallejo, CA 94591
Phone (707) 551-4773

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Broadway Villa Post AcuteSonoma, CA, CCN 055987 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2020
Jun 1, 2020
Napa Valley Care CenterNapa, CA, CCN 555161 Skilled nursing facility Contracted Managing Employee May 11, 2023
Apple Valley Post-Acute RehabSebastopol, CA, CCN 055919 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Apr 1, 2016
Apr 1, 2016
Cloverdale Healthcare CenterCloverdale, CA, CCN 055756 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
May 1, 2021
May 1, 2021
May 1, 2021
Pine Ridge Care CenterSan Rafael, CA, CCN 055850 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2021
Dec 1, 2021
Napa Post AcuteNapa, CA, CCN 056153 Skilled nursing facility Contracted Managing Employee Sep 1, 2023

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1700925211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16309",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 FAIRLANE DR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111807",
            "telephone_number": "707-535-9279",
            "fax_number": "707-303-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Heartwood Ave",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
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            "postal_code": "945915637",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 Arrowood Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954077503",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Broadway",
            "address_purpose": "LOCATION",
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            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Hwy 116 S",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
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            "postal_code": "954724865",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1527 Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
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            "postal_code": "945915448",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Fountaingrove Pkwy",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954035720",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Douglas St",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949522503",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Professional Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949032702",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Sonoma Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954044715",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3275 Villa Ln",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945583016",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Hayes Ln",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949524010",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Hayes Ln",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949524011",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Cherry Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Cloverdale",
            "state": "CA",
            "postal_code": "954253811",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Trancas St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945583014",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824568",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Professional Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949032703",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "347 Andrieux St",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954766811",
            "country_code": "US",
            "telephone_number": "707-535-9279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-112248",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC PHY",
            "identifier": "036-112248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.