DR. FERNANDO EBEO SERRANO JR. DNP, PMHNP, RN
NPI 1083247779
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Fernando Serrano's NPI number?

The NPI number for Fernando Serrano is 1083247779. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Q: What is Fernando Serrano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Fernando Serrano was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2020PECOS Enrolled

3491 KURTZ ST STE 150, SAN DIEGO, CA 92110(619) 320-2404 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Fernando Ebeo Serrano Jr. Dnp, Pmhnp, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FERNANDO EBEO SERRANO JR. DNP, PMHNP, RN (NPI 1083247779) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95013156) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083247779

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. FERNANDO EBEO SERRANO JR.Credential: DNP, PMHNP, RN

Location Address3491 KURTZ ST STE 150San Diego, CA 92110-4430

Mailing Address3491 Kurtz StSan Diego, CA 92110-4430 · (619) 320-2404

Phone(619) 320-2404

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 20, 2020

Last NPPES UpdateFebruary 23, 2024

NPPES CertifiedFebruary 23, 2024

✔ NPI 1083247779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95013156

3491 KURTZ ST STE 150, San Diego, CA 92110

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fernando Ebeo Serrano Jr. Dnp, Pmhnp, Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375952302

PECOS Enrollment IDI20210504001739

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN KEITH RINGER

Case Manager/Care Coordinator