EMILY SERENO (AUD) – Audiologist, NPI 1023789591

EMILY SERENO (AUD) is a healthcare provider. based in Los angeles, California. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 3658 (CA). The NPI Number for EMILY SERENO (AUD) is 1023789591

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
EMILY SERENO (AUD)
NPI
1023789591
Phone
Not provided
Address
FILE 53726
Enumeration Date
24 September 2021
Last Update Date
10 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9514610770
Graduation Year
2021 (5 years ago)
PAC ID
6103271390
Group Practice PAC ID
8022163286
Professional Enrollment ID
I20240408001159
Address ID
CA925632007MU39755STXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

600 QUALIFIED AUDIOLOGIST in CA

Provider Addresses for EMILY SERENO (AUD)

  • FILE 53726

    LOS ANGELES, CA 900740001

    Phone:

    Type: Mailing

  • 5405 OBERLIN DR

    SAN DIEGO, CA 921211700

    Phone: (805) 909-0770

    Type: Location

  • 9350 Campus Point Dr

    LA Jolla, CA 920371300

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 200 W Arbor Dr

    San Diego, CA 921039000

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 4250 1st Ave

    San Diego, CA 92103

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 1747 LEE ST

    SIMI VALLEY, CA 93065

    Phone: (805) 428-4395

    Type: Mailing

  • 301 S. MOORPARK RD.

    THOUSAND OAKS, CA 91361

    Phone: (805) 379-0824

    Type: Location

  • 9350 CAMPUS POINT DR

    LA JOLLA, CA 920371300

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240408001159IQualified AudiologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022163286View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YVA
Otolaryngology, Plastic And Reconstructive SurgeryMI
Physician AssistantCA
Otolaryngology, Diagnostic RadiologyCA
Physician AssistantCA
Physician AssistantCA
-CA
Physician AssistantCA
Physician AssistantCA
Qualified AudiologistCA

Reviews

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Frequently asked questions

What unique ID ties claims to EMILY SERENO (AUD)?
NPI 1023789591 is assigned to EMILY SERENO (AUD) under the national enumeration system.
Does this profile mean EMILY SERENO (AUD) is currently active?
Yes — EMILY SERENO (AUD) appears active in the national provider directory.
What does EMILY SERENO (AUD) treat or focus on?
Patients typically see EMILY SERENO (AUD) under the specialty Audiologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for EMILY SERENO (AUD)?
The page summarizes Los Angeles, California for EMILY SERENO (AUD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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