Organization Active NPI

Thrive Clinics, LLC

  • Psychiatry Physician
  • Sunnyvale, CA
National Provider Identifier
1710483383
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A138528 Issued in CA
Legal business name
THRIVE CLINICS, LLC
Practice address
877 W Fremont Ave Ste J1
Sunnyvale, CA 94087-2332
Phone
(650) 993-9996
Fax
(650) 999-0939
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Dr. David Mikel Carreon, MD
Title
Ceo
Phone
(650) 993-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A138528 CA Primary

Addresses

Primary practice location

877 W Fremont Ave Ste J1
Sunnyvale, CA 94087-2332

Mailing address

877 W Fremont Ave Ste J1
Sunnyvale, CA 94087-2332
Phone (650) 993-9996

Other practice location 1

39210 State St Ste 200
Fremont, CA 94538-1456
Phone (650) 993-9996

National Provider Directory

National Provider Directory

Locations

877 W Fremont Ave
Ste J1
Sunnyvale, CA 94087
Phone (650) 993-9996

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1710483383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE STE J1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872332",
            "telephone_number": "650-993-9996",
            "fax_number": "650-999-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE STE J1",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872332",
            "telephone_number": "650-993-9996",
            "fax_number": "650-999-0939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39210 State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381456",
            "country_code": "US",
            "telephone_number": "650-993-9996",
            "fax_number": "650-999-0939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THRIVE CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MIKEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-993-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A138528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.