Individual provider Active NPI

Adrian Enad Carreon, M.D.

  • Internal Medicine Physician
  • Atwater, CA
National Provider Identifier
1679598536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54997 Issued in CA
Practice address
3605 Hospital Rd
Suite F
Atwater, CA 95301-5173
Phone
(209) 381-0184
Fax
(209) 381-0190
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A54997 CA Primary

Addresses

Primary practice location

3605 Hospital Rd
Suite F
Atwater, CA 95301-5173

Mailing address

410 E Yosemite Ave
Suite a
Merced, CA 95340-8220
Phone (209) 384-9108

Other identifiers 1

IdentifierTypeStateIssuer
00A549970MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000548 CA Practitioner - Internal Medicine 9133313166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Provident Primary Care IncGroup PAC ID 8628350873, 10 clinicians

Practice addresses (Care Compare)

410 E Yosemite Ave
Suite a
Merced, CA 95340-8220
Phone (209) 384-9108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.38 of 100Reported as individual
Quality
47.98
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Primary Care Inc CurrentSince Oct 1, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Sheikh a. Latif DO a Professional Corporation Past Accepting new patients
John K. McGee J.R., M.D., Inc Past Accepting new patients

Locations

410 E Yosemite Ave
Ste A
Merced, CA 95340
Phone (209) 384-9108

3349 G St
Ste C
Merced, CA 95340
Phone (209) 384-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

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

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679598536",
    "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": "3605 HOSPITAL RD",
            "address_2": "SUITE F",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015173",
            "telephone_number": "209-381-0184",
            "fax_number": "209-381-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREON",
        "first_name": "ADRIAN",
        "middle_name": "ENAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

Verify at the official NPI Registry.