JESSE CARREON SUDRC#14462
NPI 1063261931
Counselor - Addiction (Substance Use Disorder) in Panorama City, CA

Active since May 14, 2024
9462 VAN NUYS BLVD, PANORAMA CITY, CA 91402(818) 891-8555 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jesse Carreon Sudrc#14462 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE CARREON SUDRC#14462 (NPI 1063261931) is an individual addiction (substance use disorder) provider in Panorama City, California, licensed in California (14462) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1063261931
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJESSE CARREONCredential: SUDRC#14462
Location Address9462 VAN NUYS BLVDPanorama City, CA 91402-1310
Mailing Address9462 Van Nuys BlvdPanorama City, CA 91402-1310 · (818) 891-8555
Sole ProprietorYes
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
NPI 1063261931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 14462
9462 VAN NUYS BLVD, Panorama City, CA 91402

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402
Counselor (Addiction (Substance Use Disorder))
9462 VAN NUYS BLVD
PANORAMA CITY, CA 91402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Carreon's NPI number?

The NPI number for Jesse Carreon is 1063261931. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Jesse Carreon located?

Jesse Carreon practices at 9462 Van Nuys Blvd, Panorama City, CA 91402. The listed phone number is (818) 891-8555.

What is Jesse Carreon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jesse Carreon was last updated on May 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.