Serena Guerrero Pugeda, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

B4306401 Issued in CA

Practice address

2370 Maritime Drive
Elk Grove, CA 95758-3639

Phone

(916) 446-7768

Fax

(916) 446-9014

NPI assigned

Aug 8, 2006

Last updated

Oct 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Serena Pugeda, D.M.D.

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1194919878
  NPD Authorized official
• Pugeda Dental Corporation

  • Dentist
  • Elk Grove, CA
  • NPI 1477799609
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1801805635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 MARITIME DRIVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583639",
            "telephone_number": "916-446-7768",
            "fax_number": "916-446-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 MARITIME DRIVE",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957583639",
            "telephone_number": "916-446-7768",
            "fax_number": "916-446-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGEDA",
        "first_name": "SERENA",
        "middle_name": "GUERRERO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "B4306401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychnp Consultants, Inc (Diamond House Detox)
• Psychnp Consultants, Inc (Diamond House Detox)
• Psychnp Consultants, Inc. (Diamond House Detox)
• Pugeda Dental Corporation
• James Rocel Guerrero Pugeda, DDS
• Kylie Puggi
• Matthew Pugmire, RRT
• Pulse Health Care LLC
• Pamona Purdy, PA
• Jonnice Puryear

• Dentist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.