ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC – NPI #1912738618
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC is a provider located in SUNNYVALE, CA. NPPES has assigned the NPI number 1912738618 to ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC on August 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was last updated on Oct 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC below.

NPI Profile for
ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC

NPI Number
1912738618
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC
Primary location
1287 HAMMERWOOD AVE
SUNNYVALE, CA 94089-2231
Phone: (408) 337-6383 Fax:
1 Other location(s):
50 Penny Ln
Watsonville, CA 95076-3079
Phone: (831) 425-9500 Ext: 60608
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EUGENE SANTILLANO
CEO/ PRESIDENT
Phone: (408) 337-6383
Updated
Certification Date
Oct 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADDICTION CHANGE EXPERTS (ACE) MEDICAL INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA1619967007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.