NPIMap

Organization Active NPI

David Carreon MD Inc

Doing business as Acacia Mental Health

  • Psychiatry Physician
  • Sunnyvale, CA
National Provider Identifier
1720572274
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A138528 Issued in CA
Legal business name
DAVID CARREON MD INC
Doing business as
Acacia Mental Health
Practice address
877 W Fremont Ave Ste N3
Sunnyvale, CA 94087-2332
Phone
(650) 993-9996
Fax
(650) 999-0939
NPI assigned
Jun 19, 2018
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Dr. David Mikel Carreon, MDNPI 1952720161
Title
President
Phone
(650) 993-9996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A138528 CA Primary

Addresses

Primary practice location

877 W Fremont Ave Ste N3
Sunnyvale, CA 94087-2332

Mailing address

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

Other names 1

  • Acacia Mental Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181212001278 CA Part B Supplier - Clinic/Group Practice 0547504912 Receives reassigned benefits from 4 practitioners
Practice locations: Sunnyvale, CA

National Provider Directory

National Provider Directory

Locations

877 W Fremont Ave
Ste N3
Sunnyvale, CA 94087
Phone (650) 521-5211

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1720572274",
    "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 N3",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872332",
            "telephone_number": "650-993-9996",
            "fax_number": "650-999-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CARREON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "CARREON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MIKEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-993-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A138528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acacia Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acacia Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.