NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gary Anthony Serravo, PA-C

Medical Physician Assistant in Pueblo, CO · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679922777

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Gary Anthony Serravo
Credential PA-C
Sex Male
Practice address 400 W 16th St, Pueblo, CO, 81003
Fax (719) 584-4861
Enumeration date Jun 9, 2016
Last updated in NPPES May 18, 2026

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA.0004647 (CO) Primary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 25MP00842600 (NJ) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 65676 (CA) Secondary

Other identifiers

Identifier Type State Issuer
0004647 Other CO PHYSICIAN ASSISTANT STATE CERTIFICATION

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Gary Serravo practice?
The practice location on file with NPPES is in Pueblo, CO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Gary Serravo?
The National Provider Identifier (NPI) for Gary Serravo is 1679922777, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-18.