David Andrew Sack, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G40374 Issued in CA

Practice address

19456 Woodlands LN
Huntington Beach, CA 92648-5570

Phone

(562) 965-3193

NPI assigned

Jun 16, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in CA, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mood Treatment Center, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1285867952
  Medicare reassignment NPD Authorized official
• Da Sack MD Psychiatry Inc

  • Psychiatry Physician
  • Lakewood, CA
  • NPI 1649875329
  NPD Authorized official
• David a. Sack MD Inc.

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1568594943
  NPD (past) Authorized official
• Wellmood PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1154182368
  NPD

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1467657882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19456 WOODLANDS LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485570",
            "telephone_number": "562-965-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19456 WOODLANDS LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485570",
            "telephone_number": "562-965-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16620 N 40th St Ste E1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850323357",
            "country_code": "US",
            "telephone_number": "602-464-9576",
            "fax_number": "480-428-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACK",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-16",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G40374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR MEDICAL CORP",
            "identifier": "753230482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Saafir
• Krista Sabados, LMFT
• Renz Sabino
• Breanne Sabol, PPS
• Eric Lawrence Sabol, D.C
• Abanoub Sadek
• Peter Nazareth Sadorian, L.AC.
• Papassarin Saereenakaphat
• Mehri Safari DDS., D.D.S.
• Kathleen Sagun

• Psychiatry Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.