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SERENA THARANI MD
NPI 1568035715
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since July 23, 2021PECOS Enrolled
2776 PACIFIC AVE, LONG BEACH, CA 90806(562) 997-2000 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Serena Tharani Md NPPES

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

SERENA THARANI MD (NPI 1568035715) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568035715
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERENA THARANICredential: MD
Location Address2776 PACIFIC AVELong Beach, CA 90806-2613
Mailing Address3341 Mountainside DrCorona, CA 92882-8916 · (949) 228-6156
Phone(562) 997-2000
Sole ProprietorNo
Enumeration DateJuly 23, 2021
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedJuly 23, 2021
✔ NPI 1568035715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2776 PACIFIC AVE, Long Beach, CA 90806
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Tharani Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Serena Tharani reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excell Integrated Medical Group Inc
7.1 mi
Family Medicine
14023 PARAMOUNT BLVD
Paramount, CA 90723
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1659909521 (562) 286-6815

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

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.

RONALD D FILLMORE CRNFA
Registered Nurse (Registered Nurse First Assistant)
2776 PACIFIC AVE, PACIFIC HOSPITAL OF LONG BEACH
LONG BEACH, CA 90806
Los Angeles County (760) 534-9550
SILVAN MEDICAL CONSULTING, INC
Psychiatry & Neurology (Psychiatry)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (949) 288-5377
THEODORE YOUN D.O.
Family Medicine
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2054
DR. SARGIS YERITSYAN MD
Student in an Organized Health Care Education/Training Program
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2000
LUKE R WATSON MD INC
Pathology (Anatomic Pathology & Clinical Pathology)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2232
KERI MAE GONZALEZ
Registered Nurse (Psychiatric/Mental Health)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2000
EINYA DENSMORE DO
Student in an Organized Health Care Education/Training Program
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 997-2000
DR. KRISHNA N. MANVI M.D.
Internal Medicine (Cardiovascular Disease)
2776 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 595-1911

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 Serena Tharani's NPI number?

The NPI number for Serena Tharani is 1568035715. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Serena Tharani located?

Serena Tharani practices at 2776 Pacific Ave, Long Beach, CA 90806. The listed phone number is (562) 997-2000.

What is Serena Tharani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Serena Tharani enrolled in Medicare?

Yes. Serena Tharani is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Serena Tharani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Serena Tharani reassigns Medicare benefits to Excell Integrated Medical Group Inc (Paramount, 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 Serena Tharani'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 Serena Tharani was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.