Christian L. Serdahl, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G064066 Issued in CA

Practice address

4925 J St
Sacramento, CA 95819-3828

Phone

(916) 812-4524

NPI assigned

Oct 20, 2005

Sex

Male

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

Specialty

OphthalmologyAlso: Family Practice

Education

University of Southern California Keck School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Site Sacramento Medical Group Inc.Group PAC ID 1951203504, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.79 of 100Reported as group

Quality

77.91

Promoting interoperability

100

Improvement activities

40

Cost

58.05

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmoreno411285@hisp.ehr.sutterhealth.org

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.

• Eye Site Sacramento Medical Group, Inc

  • Eyewear Supplier
  • Sacramento, CA
  • NPI 1578866893
  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic Medical Group of California Inc

  • Family Nurse Practitioner
  • Burbank, CA
  • NPI 1033309372
  Medicare reassignment NPD
• Minuteclinic Diagnostic Medical Group of Orange County Inc

  • Nurse Practitioner
  • Irvine, CA
  • NPI 1104013879
  Medicare reassignment NPD
• Dignity Community Care

  dba Methodist Hospital of Sacramento

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1467560599

  Ophthalmology

  NPD (past)
• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Sutter North Medical Foundation

  dba Sutter North Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1740279710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193828",
            "telephone_number": "916-812-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193828",
            "telephone_number": "916-812-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERDAHL",
        "first_name": "CHRISTIAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G064066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nayeli Sepulveda
• Marlyn Sepulveda, LCSW
• Monica Roman Sepulveda
• Seraphic Wellness Center, Incorporation
• Scott Louie Serbas
• Sannaporn Sereevinyayut, MD
• Serene Health
• Serenity Bean Family and Marriage Therapy, Professional Organization (Serenity Bean Therapy)
• Serenity Care Villa, Inc (Serenity Care Villa)
• Serenity Dental Office

• Ophthalmology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.

Verify at the official NPI Registry.