Jessica Serrano

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

61948 Issued in CA

Practice address

2301 E Foothill Blvd Ste 100
Glendora, CA 91740-4001

Phone

(626) 852-3376

NPI assigned

May 10, 2023

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jserrano843976@direct.ochin.org

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.

• QHP a Professional Corporation

  • Health Service Clinic/Center
  • Santa Ana, CA
  • NPI 1053187187

  CA

  Medicare reassignment
• Amarpaul S Sidhu, M. D

  • Specialist
  • Glendora, CA
  • NPI 1538301379
  NPD (past)
• Foothill Dermatology Medical Center

  • Specialist
  • Glendora, CA
  • NPI 1154592368
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1881384014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 W J ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E FOOTHILL BLVD STE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404001",
            "telephone_number": "626-852-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Paul Senise, D.D.S.
• Sentinel Ambulance Services
• Puchun Seok, PH.D.,L.AC
• Serenity Christian Therapy
• Serenity Health Care, Inc.
• Mary Atalla Shahid, P.T.
• Nader S Shahid, PHYSICAL THERAPIST
• Nivine Shahid, OTR/L
• Abraham V Shammas, MD
• Shant Tomassian MD Inc

• All providers in Glendora, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.