Serenity Care Health Group is a medicare enrolled "Clinic/center - Federally Qualified Health Center (fqhc)" provider in Long Beach, California. Their current practice location is
1930 E Anaheim St, Long Beach, California. You can reach out to their office (for appointments etc.) via phone at
(562) 478-4102.
Serenity Care Health Group is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Serenity Care Health Group
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245623156.
Healthcare Provider's Profile
| Full Name | Serenity Care Health Group |
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| Type | Facility |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 1930 E Anaheim St, Long Beach, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245623156
- Provider Enumeration Date: 03/17/2015
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658637202
- Enrollment ID: O20171114002945
Medical Identifiers
Medical identifiers for Serenity Care Health Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245623156 | NPI | - | NPPES |
| 00A619590 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A61959 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Serenity Care Health Group acts as a billing entity for following providers:
| Provider Name | Lawrence O Ogbechie |
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| Provider Type | Practitioner - Psychiatry |
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| Provider Identifiers | NPI Number: 1003868217
PECOS PAC ID: 0244326528
Enrollment ID: I20071017000968 |
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| Provider Name | Nimota Olayinka Aleje |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1275190472
PECOS PAC ID: 5991173387
Enrollment ID: I20221115003209 |
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| Provider Name | Zainab M Aderounmu |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1336779396
PECOS PAC ID: 0840653309
Enrollment ID: I20230830004109 |
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| Provider Name | Quang Dao Tran |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1497269864
PECOS PAC ID: 3476996117
Enrollment ID: I20240208004616 |
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| Provider Name | David Andres Castro |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1841557733
PECOS PAC ID: 0840621215
Enrollment ID: I20240517001372 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Serenity Care Health Group is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Serenity Care Health Group
515 S Flower St Fl 18,
Los Angeles, CA 90071-2201
Ph: (562) 478-4102 | Serenity Care Health Group
1930 E Anaheim St,
Long Beach, CA 90813
Ph: (562) 478-4102 |
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