Individual provider Active NPI

Alyssa Valentina Selimov, DNP, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sunnyvale, CA
National Provider Identifier
1356223648
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95035884 Issued in CA
Practice address
877 W Fremont Ave Ste N3
Sunnyvale, CA 94087-2332
Phone
(650) 521-5211
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95035884 CA Primary

Addresses

Primary practice location

877 W Fremont Ave Ste N3
Sunnyvale, CA 94087-2332

Mailing address

877 W Fremont Ave Ste N3
Sunnyvale, CA 94087-2332
Phone (650) 521-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829004153 CA Practitioner - Nurse Practitioner 2567963507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Carreon MD IncGroup PAC ID 0547504912, 3 clinicians

Practice addresses (Care Compare)

877 W Fremont Ave
Suite N3
Sunnyvale, CA 94087-2332
Phone (650) 993-9996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95035884CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Carreon MD Inc CurrentSince Aug 14, 2025 Accepting new patients

Locations

877 W Fremont Ave
Ste N3
Sunnyvale, CA 94087
Phone (650) 521-5211

Interoperability endpoints

  • Direct secure messaging: alyssa.selimov@94504051539972.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1356223648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE STE N3",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872332",
            "telephone_number": "650-521-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE STE N3",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872332",
            "telephone_number": "650-521-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIMOV",
        "first_name": "ALYSSA",
        "middle_name": "VALENTINA",
        "credential": "DNP, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95035884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

Verify at the official NPI Registry.