David Mikel Carreon, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A138528 Issued in CA

Practice address

401 Quarry Rd
Suite 2204
Palo Alto, CA 94304-1419

Phone

(650) 725-5591

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Stanford University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David Carreon MD IncGroup PAC ID 0547504912, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.carreon@94504051539972.direct.elationemr.com

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.

• David Carreon MD Inc

  • Psychiatry Physician
  • Sunnyvale, CA
  • NPI 1720572274
  Medicare reassignment Care Compare group Authorized official
• Momentum for Health

  • Community/Behavioral Health Agency
  • San Jose, CA
  • NPI 1154426807
  Medicare reassignment NPD
• Momentum for Health

  • Psychologist
  • San Jose, CA
  • NPI 1760181234
  NPD
• Momentum for Health

  • Psychologist
  • San Jose, CA
  • NPI 1922300128
  NPD

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1952720161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 POPE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252856",
            "telephone_number": "951-303-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 QUARRY RD",
            "address_2": "SUITE 2204",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041419",
            "telephone_number": "650-725-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREON",
        "first_name": "DAVID",
        "middle_name": "MIKEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A138528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Michael Carpenter, MD
• Katrina Teresa Mendoza Carpio, MSN, RN, PHN
• Gavin Walter Carr II, D.C
• Laurie Denise Carr, ARRT,CRT
• Eugene John Carragee, M.D.
• Jessica Gisselle Carreto
• Jaime Allison Carrillo, LCSW, MSW, MPH
• Jodette Cabatic Carrillo, NP
• Victor Gerard Carrion, M.D.
• Kelly Carroll-Kleiman, M.S. CF-SLP

• Psychiatry Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.