Active NPI
Rukhsana Serang, D.O.
- Family Medicine Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14122
- Practice address
- 15000 Kensington Park Dr Ste 250
Tustin, CA 92782-1835 - Phone
- (714) 477-8320
- NPI assigned
- Jun 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A14122 | CA | Primary |
Addresses
Primary practice location
15000 Kensington Park Dr Ste 250
Tustin, CA 92782-1835
Mailing address
15000 Kensington Park Dr Ste 250
Tustin, CA 92782-1835
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Western University of Health Sciences College of Dental Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8970 Warner Ave
Fountain Valley, CA 92708-3211
Phone (714) 477-8400
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14122 | CA | MD | Acupuncturist |
| 20A14122 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoag Clinic | Current | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients |
Locations
8970 Warner Ave
Fountain Vly, CA 92708
Phone (714) 477-8400
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
15000 Kensington Park Dr
Ste 250
Tustin, CA 92782
Phone (714) 477-8320
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1780023754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 KENSINGTON PARK DR STE 250",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 KENSINGTON PARK DR STE 250",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821835",
"telephone_number": "714-477-8320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERANG",
"first_name": "RUKHSANA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-22",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.