SANDY SERNA MD
NPI 1659834620
Family Medicine in San Juan Capistrano, CA

Active since April 08, 2019PECOS EnrolledAccepts Medicare Assignment
31001 RANCHO VIEJO ROAD, STE. 200, SAN JUAN CAPISTRANO, CA 92675(949) 661-9600(949) 443-6200 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2022, Apr 8, 2019 (2 updates tracked since 2019).

About Sandy Serna Md NPPES

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

SANDY SERNA MD (NPI 1659834620) is an individual family medicine provider in San Juan Capistrano, California, licensed in California (A178739) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659834620
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANDY SERNACredential: MD
Location Address31001 RANCHO VIEJO ROAD, STE. 200San Juan Capistrano, CA 92675
Mailing Address31001 Rancho Viejo Road, Ste. 200San Juan Capistrano, CA 92675 · (949) 661-9600 · Fax (949) 443-6200
Fax(949) 443-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2019
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1659834620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A178739
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
31001 RANCHO VIEJO ROAD, STE. 200, San Juan Capistrano, CA 92675

Other Identifiers 1

Medicaid93274379F05357CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandy Serna Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648654103
PECOS Enrollment IDI20220831003840
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services82 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92675 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 3

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

Family Medicine
31001 RANCHO VIEJO ROAD, STE. 200
SAN JUAN CAPISTRANO, CA 92675
Physician Assistant
31001 RANCHO VIEJO ROAD, STE. 200
SAN JUAN CAPISTRANO, CA 92675
Family Medicine
31001 RANCHO VIEJO ROAD, STE. 200
SAN JUAN CAPISTRANO, CA 92675

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 Sandy Serna's NPI number?

The NPI number for Sandy Serna is 1659834620. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Sandy Serna located?

Sandy Serna practices at 31001 Rancho Viejo Road, Ste. 200, San Juan Capistrano, CA 92675. The listed phone number is (949) 661-9600.

What is Sandy Serna's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandy Serna enrolled in Medicare?

Yes. Sandy Serna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sandy Serna was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.