Provider Demographics
NPI:1275700841
Name:CLAIRE M. SERRATO MD, INC
Entity Type:Organization
Organization Name:CLAIRE M. SERRATO MD, INC
Other - Org Name:DR CLAIRE SERRATO MD
Other - Org Type:Other Name
Authorized Official - Title/Position:B
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:SERRATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-239-5303
Mailing Address - Street 1:1820 OGDEN DR
Mailing Address - Street 2:#200
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-5384
Mailing Address - Country:US
Mailing Address - Phone:650-239-5303
Mailing Address - Fax:650-375-8269
Practice Address - Street 1:1820 OGDEN DR
Practice Address - Street 2:#200
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-5384
Practice Address - Country:US
Practice Address - Phone:650-239-5303
Practice Address - Fax:650-375-8269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG080700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G807000OtherMEDI-CAL
CA00G807000Medicare PIN
CAG49028Medicare UPIN