Serene De Leon, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018108 Issued in CA

Practice address

13178 Alta Vista Way
Sylmar, CA 91342-3461

Phone

(818) 322-8951

NPI assigned

Aug 17, 2021

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

Electronic endpoints 1

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

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• San Fernando Valley Medical Group Inc

  • Hospitalist Physician
  • Sherman Oaks, CA
  • NPI 1902188022
  Medicare reassignment NPD
• Plyokinetics Therapy Inc - a Physical Therapy Corporation

  • Physical Therapist
  • Sylmar, CA
  • NPI 1225689623
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1952077216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13178 ALTA VISTA WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423461",
            "telephone_number": "818-322-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13178 ALTA VISTA WAY",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913423461",
            "telephone_number": "818-322-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "SERENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sylmar",
            "affiliation": "N",
            "address_1": "13178 Alta Vista Way",
            "city": "Sylmar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913423461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Stephanie De la Rosa Dominguez
• Alejandro De la Rosa
• Adriana Carolina De la Torre, LCSW
• Angelito Bustamante De Leon, PT
• Diana Grace Reyes De Leon
• Dexter Alejandro De Vera
• Stanley Kwan Dea, M.D.
• Joanna V. Dearlove, M.D.
• Brian Decal
• John Decena

• Family Nurse Practitioner in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.