Alfredo Sercado, PTA/COTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4904 Issued in CA

Practice address

800 E 5TH St
Ontario, CA 91764-2432

Phone

(909) 984-1620

NPI assigned

Sep 12, 2020

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1982219341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7193 ALOE CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917391829",
            "telephone_number": "909-276-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 5TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642432",
            "telephone_number": "909-984-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERCADO",
        "first_name": "ALFREDO",
        "credential": "PTA/COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "4904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Seliz
• Martinez I. Sellers
• Angela Carol Selvidge
• Ashley Sempe
• Amirali Sepehrdad, PHARMD
• Gisselle Elena Serna
• Isabel Serna
• Katrina Serna
• Mariela Serna
• Jade Serrano

• Physical Therapy Assistant in Ontario, CA
• Providers in Ontario, 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 Sep 12, 2020; 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.