Gabriel Serrano

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48201 Issued in CA

Practice address

42150 Jackson St Ste 103
Indio, CA 92203-9780

Phone

(442) 300-3200

NPI assigned

Aug 13, 2025

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD (past)

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1932085057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42150 JACKSON ST STE 103",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039780",
            "telephone_number": "442-300-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42150 JACKSON ST STE 103",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039780",
            "telephone_number": "442-300-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sehyung Jang DDS Inc
• Richard Duboe Seigle, M.D.
• Sems Medical Partners Inc
• Sumin Seo, PT
• Sharon J Seraphin, R.PH
• Jesus Alfredo Serrato Vidal, ASW
• Marisela Serrato
• Set Apart Service LLC
• Norman Shigeo Seto, O.D.
• Jude L Seva

• Physical Therapy Assistant in Indio, CA
• Providers in Indio, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.