Wendell Siate Serrano
Registered Nurse in Fresno, CA. Individual provider (NPI-1).
NPI number1629992136
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1629992136
- Entity type
- Individual (NPI-1)
- Name
- Wendell Siate Serrano
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2026
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 95109083 | CA | Yes |
Practice location
2615 E Clinton AveFresno, CA 93703-2223
Phone 559-225-6100
Mailing address
2615 E Clinton AveFresno, CA 93703-2223
Phone 559-225-6100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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