Healthcare Provider Details

I. General information

NPI: 1407528060
Provider Name (Legal Business Name): FRANK VINCENT SERRANO BA, MSW, ED.D., MHRS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 10/01/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE # 1A068
SAN JOSE CA
95128-2699
US

IV. Provider business mailing address

555 FISHER AVE
MORGAN HILL CA
95037-5511
US

V. Phone/Fax

Practice location:
  • Phone: 408-710-9068
  • Fax:
Mailing address:
  • Phone: 408-710-9068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: