Serenity Cancer Center Inc

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

SERENITY CANCER CENTER INC

Practice address

1805 E Fir Ave
Fresno, CA 93720-3859

Phone

(650) 561-3857

NPI assigned

Oct 29, 2020

Organization subpart

No

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

Authorized official

Name

Omid Saeed Tehrani, MD, PHDNPI 1659508281

Title

President

Phone

(650) 561-3857

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omid Saeed Tehrani, M.D., PH.D,

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1659508281
  Medicare reassignment NPD Authorized official
• Fariba Hajy Iseyedsoleiman

  • Nurse Practitioner
  • Palo Alto, CA
  • NPI 1366911786
  Medicare reassignment NPD

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1770183717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 N CEDAR AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202687",
            "telephone_number": "650-561-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203859",
            "telephone_number": "650-561-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CANCER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "SAEED TEHRANI",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-561-3857",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Sleep Diagnostics Inc.
• Kylee Serafin
• Kynoosh Seraji, MS, CGC
• Linda Jean Sereda
• Serene Valley Healthcare, LLC
• Serenity Care Inc.
• Serenity Garden Home 2
• Serenity Mental Health Solutions
• Sergio Balli Chiropractic, Inc.
• Juanita Sermeno

• Medical Oncology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.