OrganizationActive
Oluwagbenga Serrano
NPI 1104978600 · Gastroenterology Physician · Lakeside, AZ
Oluwagbenga Serrano is a Gastroenterology Physician organization in Lakeside, AZ (NPI 1104978600).
Provider details
- NPI number
- 1104978600
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Oluwagbenga Serrano, Owner(928) 367-3637
- License
- 29877 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
218 W White Mountain Blvd
Suite C
Lakeside, AZ 85929-7013
Phone: (928) 367-3637
Fax: (928) 367-3638
Street-level locationGet directions
Mailing address
Po Box 1149
Lakeside, AZ 85929-1149
Other names (DBA / former)
- Doing business as
- O Serrano MD PLLC
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2012-01-13
Frequently asked questions
- What is Oluwagbenga Serrano's NPI number?
- Oluwagbenga Serrano's National Provider Identifier (NPI) is 1104978600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oluwagbenga Serrano?
- Oluwagbenga Serrano is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Oluwagbenga Serrano located?
- Oluwagbenga Serrano's practice location on file with NPPES is 218 W White Mountain Blvd, Lakeside, AZ 85929-7013.
- What is Oluwagbenga Serrano's phone number?
- The practice phone number listed in the NPPES registry for Oluwagbenga Serrano is (928) 367-3637.
- Who is the authorized official for Oluwagbenga Serrano?
- The authorized official listed on Oluwagbenga Serrano's NPPES record is Oluwagbenga Serrano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oluwagbenga Serrano's NPI active?
- Yes — Oluwagbenga Serrano's NPI (1104978600) is active in the NPPES registry as of the last update on 2012-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.