Maristela Manuel Carreon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C50505 Issued in CA

Practice address

410 E Yosemite Ave
Suite a
Merced, CA 95340-8220

Phone

(209) 384-9108

Fax

(209) 384-0580

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Provident Primary Care Inc 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Home Care Home health agency, Merced, CA, CCN 557523
• Mercy Medical Center Hospital, Merced, CA, CCN 050444

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maristelacarreon@mcpmedicalofc.directglo.com

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.

• Provident Primary Care Inc

  • Primary Care Clinic/Center
  • Merced, CA
  • NPI 1154785517

  CA

  Medicare reassignment Care Compare group NPD
• Teresita Sargadilos Enad, M.D.

  • Internal Medicine Physician
  • Merced, CA
  • NPI 1639103898

  CA

  Medicare reassignment
• John K. McGee J.R., M.D., Inc

  • Ophthalmology Physician
  • Atwater, CA
  • NPI 1760542823
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • Home Health Agency
  • Merced, CA
  • NPI 1235289117
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1376693952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-384-9108",
            "fax_number": "209-384-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E YOSEMITE AVE",
            "address_2": "SUITE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408220",
            "telephone_number": "209-384-9108",
            "fax_number": "209-384-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREON",
        "first_name": "MARISTELA",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C505050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C50505",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Cristina Carmona
• Isabel Naima Carmona
• Julianne Carmona, LMFT
• Brianna Jade Carpenter
• Julio Cesar Carpio
• Stacey Carreon
• Christina Carrillo
• Priscilla Carrillo
• Alicia Nichole Carter, RN
• Donald Phillip Carter, M.D.

• All providers in Merced, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.