Brian Serrano, PHD, ATC, CSCS, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

7248049990 Issued in CA

Practice address

28062 Forbes Rd
Laguna Niguel, CA 92677-1205

Phone

(818) 926-7269

NPI assigned

Sep 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1881243483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25162 CHARLINDA DR UNIT I-144",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28062 FORBES RD",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771205",
            "telephone_number": "818-926-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC, CSCS, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "7248049990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brianserrano171@gmail.com",
            "affiliation": "N",
            "address_1": "28062 Forbes Rd",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926771205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Masoomeh Seifpour
• Stuart C Seigel, MD
• Richard Nevin Selby, M.D.
• Select Cal Physical Therapy PC
• Seniors Paradise LLC
• Jacqueline Evamarie Serrano, DC
• Christine Servando
• Patrick Seweje, DPT
• Tara Seymour, O.D.
• Shaam Business Corp

• Athletic Trainer in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.