Individual provider Active NPI

Jonathan Harry Serebrin, MD

  • Personal Emergency Response Attendant
  • Pomona, CA
National Provider Identifier
1972683944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
G 36895 Issued in CA
Practice address
1224 S Garey Ave
Pomona, CA 91766-3333
Phone
(909) 802-2002
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X G 36895 CA Primary

Addresses

Primary practice location

1224 S Garey Ave
Pomona, CA 91766-3333

Mailing address

1152 22ND St
Manhattan Beach, CA 90266-2954
Phone (310) 492-5803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grenda Chiropractic, Inc. CurrentSince Apr 27, 2018 Accepting new patients
United Medical Care Center Inc. PastSince May 1, 2013 Accepting new patients
Columbia Medical Group, Inc. PastSince Apr 6, 2007 Accepting new patients
Cure4Feet Podiatry Group Inc PastSince Oct 15, 2013 Accepting new patients

Locations

3640 Lomita Blvd
Ste 306
Torrance, CA 90505
Phone (310) 373-8595

1628 Cravens Ave
Torrance, CA 90501
Phone (310) 787-8104

Interoperability endpoints

  • Direct secure messaging: jonathan.serebrin.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 4

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972683944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 22ND ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662954",
            "telephone_number": "310-492-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 S GAREY AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917663333",
            "telephone_number": "909-802-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEREBRIN",
        "first_name": "JONATHAN",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "G 36895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.