Individual provider Active NPI

Maria Serratos

  • Case Manager/Care Coordinator
  • West Covina, CA
National Provider Identifier
1851911465
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1923 E Eckerman Ave
West Covina, CA 91791-1113
Phone
(562) 556-2495
NPI assigned
Apr 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA Primary

Addresses

Primary practice location

1923 E Eckerman Ave
West Covina, CA 91791-1113

Mailing address

158 Gentry St
Pomona, CA 91767-2100
Phone (562) 556-2495

Other practice location 1

1940 Baseline Rd
LA Verne, CA 91750-2148
Phone (562) 556-2495

Other practice location 2

670 W Baseline Rd
San Dimas, CA 91773-1492
Phone (909) 741-7124

Other practice location 3

3340 E Whitebirch Dr
West Covina, CA 91791-3039
Phone (626) 806-0110

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Group Homes Inc. Case Manager/Care Coordinator PastSince Jun 15, 2021 Accepting new patients
Heritage Group Homes Inc. Case Manager/Care Coordinator PastSince Apr 26, 2020 Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator PastSince Oct 31, 2021 Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator PastSince Apr 26, 2020 Accepting new patients
Heritage Group Homes, Inc. Case Manager/Care Coordinator Past Accepting new patients

Organizations & group practices 5

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1851911465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 GENTRY ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672100",
            "telephone_number": "562-556-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911113",
            "telephone_number": "562-556-2495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917502148",
            "country_code": "US",
            "telephone_number": "562-556-2495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 W Baseline Rd",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917731492",
            "country_code": "US",
            "telephone_number": "909-741-7124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3340 E Whitebirch Dr",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917913039",
            "country_code": "US",
            "telephone_number": "626-806-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRATOS",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.