MIRIAM SERRANO (NPI# 1598120404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598120404 |
| Entity Type | Individual |
| Full Name | MIRIAM SERRANO |
| Practice Address |
11601 S Western Ave Los Angeles CA 90047-5006 |
| Practice Telephone | 3232425000 |
| Mailing Telephone | 3232425000 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6055 E Washington Blvd Ste 900, Commerce, CA 900402453 | 3233018481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174799654 | Miriam Serrano | Dietitian, Registered | 1727 Amsterdam Avenue 4th Fl, New York, NY 10031-4611 | 2008-05-05 |
| 1235235540 | Miriam Ivette Serrano | Pharmacy Technician | Carr 3 Km 28.8, Rio Grande, PR 00745 | 2006-09-15 |
| Street Address |
11601 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102291 | Angela Zepeda | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-10-19 |
| 1568077527 | Lindsey Markley | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-15 |
| 1528673134 | Jesse Ramirez | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-10 |
| 1174138739 | Adrian Toledo | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-10 |
| 1760097505 | Avery Lowe | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-09 |
| 1598370348 | Romana Vera | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-09 |
| 1346855186 | Marybel Canizales | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-09 |
| 1548874415 | Cindy Orante Gil | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| 1205440104 | Jason Kim | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| 1114531027 | Anai De La Cruz | Student in an Organized Health Care Education/Training Program | 11601 S Western Ave, Los Angeles, CA 90047-5006 | 2020-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1245855725 | Ashley Ivette Berumen | Case Manager/Care Coordinator | 1900 W Slauson Ave, Los Angeles, CA 90047-1129 | 2020-06-10 |
| 1356965776 | Jennifer Yanovski | Case Manager/Care Coordinator | 316 W 2nd St Ste 202, Los Angeles, CA 90012-3527 | 2020-06-01 |
| 1841820560 | Kiara Imani Thomas | Case Manager/Care Coordinator | 226 E 103rd St, Los Angeles, CA 90003-4720 | 2020-01-22 |
| 1023648748 | Christopher Rivas | Case Manager/Care Coordinator | 1410 N Kenmore Ave Apt 5, Los Angeles, CA 90027-5826 | 2020-01-22 |
| 1396383782 | Candace Laolagi | Case Manager/Care Coordinator | 246 E 47th St, Los Angeles, CA 90011-3908 | 2019-12-16 |
| 1902448343 | Aster Libasu | Case Manager/Care Coordinator | 2619 Wilshire Blvd Apt 1005, Los Angeles, CA 90057-3461 | 2019-10-16 |
| 1831749456 | Jasmine Lynn Martinez | Case Manager/Care Coordinator | 6768 Lexington Ave, Los Angeles, CA 90038-1234 | 2019-09-16 |
| 1033762547 | John Charles Gutierrez | Case Manager/Care Coordinator | 4265 S Normandie Ave, Los Angeles, CA 90037-2324 | 2019-07-23 |
| 1609429976 | Vianey Colon | Case Manager/Care Coordinator | 11601 S Western Ave # O, Los Angeles, CA 90047-5006 | 2019-07-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
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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.