SERENA MRAZ (NPI# 1518911395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518911395 |
| Entity Type | Individual |
| Full Name | SERENA MRAZ |
| Other Name | SERENA MRAZ-GERNHARD |
| Credential | M.D. |
| Practice Address |
2290 Sacramento St Vallejo CA 94590-2929 |
| Practice Telephone | 7076435785 |
| Practice Fax Number | 7076438810 |
| Mailing Telephone | 7076435785 |
| Mailing Fax Number | 7076438810 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2014-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G81439 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G81439 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0023150 | 05 |
| Street Address |
2290 SACRAMENTO ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667851 | Kyle Joseph Goleno | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| 1003227372 | Jonathan Okman | Dermatology | 2290 Sacramento St, Vallejo, CA 94590 | 2014-05-08 |
| 1821238569 | Meghan Elizabeth Kennedy | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2009-02-20 |
| 1811159387 | Kathryn Marie Kent | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2008-06-26 |
| 1750564407 | Joshua Paul Spanogle | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2007-12-17 |
| 1376623215 | Debra M Stock | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-10-16 |
| 1023056983 | John Howard Alexander | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1275571028 | John Kevin Geisse | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1013961572 | Margaret Malig Nonato | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-20 |
| 1922052729 | Solano Dermatology Associates Inc | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003227372 | Jonathan Okman | Dermatology | 2290 Sacramento St, Vallejo, CA 94590 | 2014-05-08 |
| 1053546416 | Shadi Rashtak | Dermatology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2009-05-28 |
| 1821238569 | Meghan Elizabeth Kennedy | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2009-02-20 |
| 1811159387 | Kathryn Marie Kent | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2008-06-26 |
| 1750564407 | Joshua Paul Spanogle | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2007-12-17 |
| 1780758086 | Paradi Mirmirani | Dermatology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-20 |
| 1437237245 | Eileen Crowley | Dermatology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1679651483 | Robin St. Clair Gray | Dermatology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1275571028 | John Kevin Geisse | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1922052729 | Solano Dermatology Associates Inc | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| Find all providers in VALLEJO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.