Individual provider Active NPI

Eric Serna

  • Primary Care Clinic/Center
  • Murrieta, CA
National Provider Identifier
1861069502
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
60536 Issued in CA
Practice address
30135 Technology Dr Ste 100150
Murrieta, CA 92563-2653
Phone
(833) 867-4642
Fax
(360) 462-2751
NPI assigned
Jun 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 60536 CA Primary

Addresses

Primary practice location

30135 Technology Dr Ste 100150
Murrieta, CA 92563-2653

Mailing address

1414 E Florence Ave
Los Angeles, CA 90001-1937
Phone (323) 588-1383

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606001335 CA Practitioner - Physician Assistant 4587106430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60536CAMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Apr 7, 2024 Accepting new patients
Neighborhood Healthcare CurrentSince Apr 7, 2024 Accepting new patients

Locations

264 N Highland Springs Ave
Ste 4
Banning, CA 92220
Phone (951) 769-0079

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Organizations & group practices 2

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1861069502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011937",
            "telephone_number": "323-588-1383",
            "fax_number": "323-588-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30135 TECHNOLOGY DR STE 100150",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632653",
            "telephone_number": "833-867-4642",
            "fax_number": "360-462-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERNA",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "60536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.