Active NPI
Jonathan Harry Serebrin, MD
- Personal Emergency Response Attendant
- Pomona, CA
National Provider Identifier
1972683944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- G 36895
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grenda Chiropractic, Inc. | Current | Accepting new patients | |
| United Medical Care Center Inc. | Past | Accepting new patients | |
| Columbia Medical Group, Inc. | Past | Accepting new patients | |
| Cure4Feet Podiatry Group Inc | Past | 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
- 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.
-
- Rehabilitation Chiropractor
- Torrance, CA
- NPI 1871635680
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1336365576
-
- Foot & Ankle Surgery Podiatrist
- North Hollywood, CA
- NPI 1104149269
-
- Specialist
- San Bernardino, CA
- NPI 1467590323
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.