| Noel Serrano MD PC | |
|
6117 Fairlane Dr Oakland CA 94611-1807 | |
| (707) 535-9279 | |
| Not Available |
| Full Name | Noel Serrano MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6117 Fairlane Dr, Oakland, California |
| Authorized Official Name and Position | Noel Serrano (OWNER) |
| Authorized Official Contact | 7075359279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noel Serrano MD PC Po Box 16309 Jacksonville FL 32245-6309 | Noel Serrano MD PC 6117 Fairlane Dr Oakland CA 94611-1807 Ph: (707) 535-9279 |
| NPI Number | 1154010072 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 01/26/2026 |
| Certification Date | 01/26/2026 |
| Medicare PECOS PAC ID | 6800246893 |
|---|---|
| Medicare Enrollment ID | O20240103003281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154010072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Noel Serrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700925211 PECOS PAC ID: 4789636325 Enrollment ID: I20100902000739 |
| Provider Name | Vishnuvardhan R Komari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790929966 PECOS PAC ID: 8325203839 Enrollment ID: I20170523001700 |
| Provider Name | Mary Jane N Salo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174092902 PECOS PAC ID: 5294077913 Enrollment ID: I20190430000686 |
| Provider Name | Jason J Rusoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427413913 PECOS PAC ID: 9830491844 Enrollment ID: I20220428000818 |
| Provider Name | Robina Ahmad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003265745 PECOS PAC ID: 5496047680 Enrollment ID: I20220726002600 |
| Provider Name | Krysta Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962184291 PECOS PAC ID: 6305290875 Enrollment ID: I20241224000080 |
| Provider Name | Lala Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275330870 PECOS PAC ID: 8527581438 Enrollment ID: I20250428003427 |
| Provider Name | Maria Sophia Frances Cruz Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619855509 PECOS PAC ID: 2163910647 Enrollment ID: I20251024004195 |
Frank Kiang Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 E 18th St Fl 2, Oakland, CA 94606 Phone: 510-986-6860 Fax: 510-986-6890 |
Roosevelt School-based Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1926 E 19th St, Oakland, CA 94606 Phone: 510-535-4000 |
Oakland Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 28th St, Oakland, CA 94609 Phone: 510-452-4824 Fax: 510-465-4503 |
Techniclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4351 Broadway, Oakland, CA 94611 Phone: 510-879-1907 Fax: 510-879-1999 |
Clinica La Luna Y El Sol Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4333 Piedmont Ave, Oakland, CA 94611 Phone: 510-594-7400 Fax: 510-594-7402 |
Randall Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 30th St, #100, Oakland, CA 94609 Phone: 510-342-2239 Fax: 510-380-7143 |