STACY YAMILET SERRANO
NPI 1770074254
Social Worker - Clinical in Los Angeles, CA
About Stacy Yamilet Serrano NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY YAMILET SERRANO (NPI 1770074254) is an individual clinical provider in Los Angeles, California, licensed in California (117801) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacy Yamilet Serrano 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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Serrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Inglewood, CA 90303
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 90062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Stacy Serrano's NPI number?
The NPI number for Stacy Serrano is 1770074254. It was assigned to this individual provider in the NPPES registry on May 21, 2018.
Where is Stacy Serrano located?
Stacy Serrano practices at 1430 W 52nd St, Los Angeles, CA 90062. The listed phone number is (323) 649-0920.
What is Stacy Serrano's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stacy Serrano enrolled in Medicare?
Yes. Stacy Serrano 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.
Which organization bills Medicare for Stacy Serrano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Serrano reassigns Medicare benefits to Southern California Permanente Medical Group (Inglewood, 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 Stacy 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 Stacy Serrano was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Stacy Yamilet Serrano · NPI 1770074254
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 21, 2018.
## Identity
- **NPI:** 1770074254 (Entity type: Individual)
- **Enumerated:** May 21, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 117801 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1430 W 52ND ST, Los Angeles, CA 90062-2836
- **Phone:** (323) 649-0920
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1821635079, Inglewood, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770074254) · Data from the CMS NPPES public registry.