| Serena Fermin Grant, PA | |
|
3401 S Harbor Blvd, Santa Ana, CA 92704-7933 | |
| (833) 574-2273 | |
| Not Available |
| Full Name | Serena Fermin Grant |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 3401 S Harbor Blvd, Santa Ana, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467801381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 53609 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Sand Canyon Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962688390 PECOS PAC ID: 9436223781 Enrollment ID: O20080804000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Serena Fermin Grant, PA 15775 Laguna Canyon Rd Ste 100, Irvine, CA 92618-3190 Ph: (949) 417-0272 | Serena Fermin Grant, PA 3401 S Harbor Blvd, Santa Ana, CA 92704-7933 Ph: (833) 574-2273 |
Carly Akemi Takata, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5 Hutton Centre Dr Ste 950, Santa Ana, CA 92707 Phone: 855-434-7763 |
Ivonne Landeros, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1710 E 17th St Ste B, Santa Ana, CA 92705 Phone: 714-558-8228 Fax: 714-558-8222 |
Rene Rivera, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2650 S Bristol St Ste 101, Santa Ana, CA 92704 Phone: 714-754-1444 |
Angelica Maria Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1226 N Broadway, Santa Ana, CA 92701 Phone: 714-825-0940 |
Michael Coker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 N Tustin Ave Ste 403, Santa Ana, CA 92705 Phone: 714-285-0014 Fax: 714-285-0018 |
Jennifer Lyn O'herin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1619 E Edinger Ave, Santa Ana, CA 92705 Phone: 714-542-8904 |
Alicia Tokunaga, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2621 S Bristol St #203, Santa Ana, CA 92707 Phone: 999-999-9999 |