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

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: October 25, 2026.

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Fernando Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Telecare Corporation
Same address
Adult Mental Health
3491 KURTZ ST STE 150
San Diego, CA 92110
  • Reassigned Medicare billing, California enrollment
  • 247 clinicians in this Medicare group
NPI 1134779705 (510) 337-7950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
DANIEL CHRISTOPHER IANNITELLI
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
MARIANA TZOMES ACSW
Social Worker (Clinical)
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
JOELLE C. GUZMAN
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
ALISON RAMONA DECKER
Peer Specialist
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
SHIANN PLUMMER
Case Manager/Care Coordinator
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
BELINDA ANN NEWSOM SUDCC
Counselor (Addiction (Substance Use Disorder))
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 320-2404
DEVIN BERSHION ALBERT SR.
Rehabilitation Practitioner
3491 KURTZ ST STE 150
SAN DIEGO, CA 92110
San Diego County (619) 361-4177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Fernando Serrano located?

Fernando Serrano practices at 3491 Kurtz St Ste 150, San Diego, CA 92110. The listed phone number is (619) 320-2404.

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.

Is Fernando Serrano enrolled in Medicare?

Yes. Fernando Serrano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Fernando Serrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Serrano reassigns Medicare benefits to Telecare Corporation (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fernando Serrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.