Individual provider Active NPI

Daisy Chea Concon, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1417695867
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95039238 Issued in CA
Practice address
9855 Erma Rd Ste 133
San Diego, CA 92131-1092
Phone
(858) 342-4572
NPI assigned
May 25, 2022
Last updated
May 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95039238 CA Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 95238325 CA

Addresses

Primary practice location

9855 Erma Rd Ste 133
San Diego, CA 92131-1092

Mailing address

1123 Rocky Point Way
Escondido, CA 92026-4021
Phone (442) 202-9662

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
I20260603003396 CA Practitioner - Nurse Practitioner 1153892864 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Datnguyen, M.D., Inc.Group PAC ID 4587668736, 16 clinicians

Practice addresses (Care Compare)

9855 Erma Rd
Suite 133
San Diego, CA 92131-1092
Phone (858) 348-3760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95238325CAMDAdult Psychiatric/Mental Health Registered Nurse
95039238CAMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778371200000",
    "number": "1417695867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 ROCKY POINT WAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920264021",
            "telephone_number": "442-202-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 ERMA RD STE 133",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311092",
            "telephone_number": "858-342-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCON",
        "first_name": "DAISY",
        "middle_name": "CHEA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95039238",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95238325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.