SERENITY FALLS BEHAVIORAL HEALTH A PROFESSIONAL NURSING CORPORATION
NPI 1710710728
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since August 23, 2024
570 W 4TH ST # 206, SAN BERNARDINO, CA 92401(949) 303-9811 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 14, 2025, Dec 5, 2024, Sep 18, 2024 and 1 more (4 updates tracked since 2024).

About Serenity Falls Behavioral Health A Professional Nursing Corporation NPPES

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

SERENITY FALLS BEHAVIORAL HEALTH A PROFESSIONAL NURSING CORPORATION (NPI 1710710728) is a healthcare organization registered as a psychiatric/mental health in San Bernardino, California and active in the NPI registry since August 2024. The organization lists Eric Zywicki, Owner, as its authorized official.

NPPES Registry Identity

NPI1710710728
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSERENITY FALLS BEHAVIORAL HEALTH A PROFESSIONAL NURSING CORPORATION
Location Address570 W 4TH ST # 206San Bernardino, CA 92401-1405
Mailing Address207 Chicago AveHuntington Beach, CA 92648-5258 · (949) 303-9811
Organization SubpartNo
Authorized OfficialEric ZywickiOwner · (949) 303-9811
Enumeration DateAugust 23, 2024
Last NPPES UpdateFebruary 14, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2025
✔ NPI 1710710728 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
570 W 4TH ST # 206, San Bernardino, CA 92401

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serenity Falls Behavioral Health A Professional Nursing Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Serenity Falls Behavioral Health A Professional Nursing Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1851801443
570 W 4TH ST
San Bernardino, CA 92401
(949) 303-9811
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1952170268
14280 RICAREE RD
Apple Valley, CA 92307
(760) 646-7399
✔ PECOS✔ Accepts Medicare28 mi
Psychiatry
NPI 1447224449
2230 STOCKTON BLVD
Sacramento, CA 95817
(916) 734-2972
✔ PECOS✔ Accepts Medicare385 mi

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

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 Serenity Falls Behavioral Health A Professional Nursing Corporation's NPI number?

The NPI number for Serenity Falls Behavioral Health A Professional Nursing Corporation is 1710710728. It was assigned to this organization in the NPPES registry on August 23, 2024.

Where is Serenity Falls Behavioral Health A Professional Nursing Corporation located?

Serenity Falls Behavioral Health A Professional Nursing Corporation is located at 570 W 4th St # 206, San Bernardino, CA 92401. The listed phone number is (949) 303-9811.

What is Serenity Falls Behavioral Health A Professional Nursing Corporation's specialty?

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

Is Serenity Falls Behavioral Health A Professional Nursing Corporation enrolled in Medicare?

Yes. Serenity Falls Behavioral Health A Professional Nursing Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serenity Falls Behavioral Health A Professional Nursing Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Serenity Falls Behavioral Health A Professional Nursing Corporation, in Nurse Practitioner and Psychiatry. A 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 the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serenity Falls Behavioral Health A Professional Nursing Corporation was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.