Individual provider Active NPI

Lucy Celina Serrano, FNP-C

  • Family Nurse Practitioner
  • Norwalk, CA
National Provider Identifier
1750057204
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016594 Issued in CA
Practice address
13820 San Antonio Dr
Norwalk, CA 90650-4033
Phone
(562) 317-1532
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016594 CA Primary

Addresses

Primary practice location

13820 San Antonio Dr
Norwalk, CA 90650-4033

Mailing address

11923 Rustic Hill Dr
Whittier, CA 90601-1908
Phone (323) 547-1243

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juan.montes@montes.eclinicaldirectplus.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115000284 CA Practitioner - Nurse Practitioner 8426426941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016594CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montes Medical Group Inc CurrentSince Jul 15, 2022 Accepting new patients
Montes Medical Group Inc CurrentSince Jul 15, 2022 Accepting new patients
Montes Medical Group Inc Current Accepting new patients

Locations

13820 San Antonio Dr
Norwalk, CA 90650
Phone (562) 317-1532

11822 Floral Dr
Whittier, CA 90601
Phone (562) 205-3405

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1750057204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11923 RUSTIC HILL DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906011908",
            "telephone_number": "323-547-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 SAN ANTONIO DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504033",
            "telephone_number": "562-317-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "LUCY",
        "middle_name": "CELINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juan.montes@montes.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "13820 San Antonio Dr",
            "city": "Norwalk",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906504033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.