Active NPI
Grace Serrano Larcena
- Physical Therapist
- American Canyon, CA
National Provider Identifier
1801025531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27763
- Practice address
- 490 Canyon Creek Dr
American Canyon, CA 94503-3940 - Phone
- (707) 319-9097
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27763 | CA | Primary |
Addresses
Primary practice location
490 Canyon Creek Dr
American Canyon, CA 94503-3940
Mailing address
490 Canyon Creek Dr
American Canyon, CA 94503-3940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1801025531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 CANYON CREEK DR",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945033940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 CANYON CREEK DR",
"city": "AMERICAN CANYON",
"state": "CA",
"postal_code": "945033940",
"telephone_number": "707-319-9097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARCENA",
"first_name": "GRACE",
"middle_name": "SERRANO",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "27763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in American Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.