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Oluwagbenga Serrano

Gastroenterology Physician in Lakeside, AZ · enumerated 2007 · authorized official Oluwagbenga Serrano, Owner.

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

National Provider Identifier

1104978600

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Registry record

Entity type Organization (Type 2)
Legal business name Oluwagbenga Serrano
Other name <Unavail>
Practice address 218 W White Mountain Blvd, Suite C, Lakeside, AZ, 85929
Fax (928) 367-3638
Enumeration date Jan 17, 2007
Last updated in NPPES Jan 13, 2012

Taxonomy & classification

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 29877 (AZ) Primary

Authorized official

Name Oluwagbenga Serrano
Title Owner

Other identifiers

Identifier Type State Issuer
025539 Medicaid AZ -

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.

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Frequently asked questions

What is the NPI number for Oluwagbenga Serrano?
The NPI for Oluwagbenga Serrano is 1104978600, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Oluwagbenga Serrano?
NPPES lists Oluwagbenga Serrano (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-13.