Active NPI
Thrive Clinics, LLC
- Psychiatry Physician
- Sunnyvale, CA
National Provider Identifier
1710483383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A138528
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.