LIDO WELLNESS CENTER (NPI# 1477056166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477056166 |
| Entity Type | Organization |
| Organization Name | LIDO WELLNESS CENTER |
| Practice Address |
3404 Via Lido Newport Beach CA 92663-3968 |
| Mailing Address |
3419 Via Lido # 313 Newport Beach CA 92663-3908 |
| Practice Telephone | 9496332821 |
| Mailing Telephone | 9496332821 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | MR. COLLIN WEEDEN (CEO) |
| Authorized Official Telephone | 9496332821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
CA | Ambulatory Health Care Facilities |
| Street Address |
3404 VIA LIDO |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765804 | Stanley Armbruster Dds | Dentist | 3404 Via Lido, Newport Beach, CA 92663-3968 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652841 | Hotel California By The Sea, LLC | Clinic/Center | 400 Westminster Ave Ste 1, Newport Beach, CA 92663-4228 | 2019-04-08 |
| 1376005595 | Jeremy Harvey Mft PC | Clinic/Center | 260 Newport Center Dr Ste 101, Newport Beach, CA 92660-7520 | 2019-04-05 |
| 1295209831 | The Mental Health Collective, LLC | Clinic/Center | 20377 Sw Acacia St Ste 120, Newport Beach, CA 92660-0781 | 2019-01-16 |
| 1841640315 | Casa Capri | Clinic/Center | 4001 Westerly Pl Ste 110, Newport Beach, CA 92660-2302 | 2016-06-15 |
| 1558710251 | B & G Medical Services | Clinic/Center | 4000 Birch St Ste 112b, Newport Beach, CA 92660-2211 | 2016-06-03 |
| 1942810122 | Andrew Schneider, Do, Inc | Clinic/Center | 366 San Miguel Dr Ste 309, Newport Beach, CA 92660-7810 | 2020-08-03 |
| 1740840701 | Hoag Neurobehavioral Health LLC | Clinic/Center | 500 Superior Ave Ste 315, Newport Beach, CA 92663-3660 | 2019-06-20 |
| 1649781121 | Healing Source Medical, Inc. | Clinic/Center | 1601 Dove St Ste 185, Newport Beach, CA 92660-2441 | 2017-10-24 |
| 1841648615 | Dr. Dianna Troutt, Marriage and Family Therapist, Inc. | Clinic/Center | 1151 Dove St Ste 113, Newport Beach, CA 92660-2805 | 2016-06-02 |
| 1518359900 | Neuromod Sciences | Clinic/Center | 1601 Dove St, Suite 299, Newport Beach, CA 92660-2433 | 2015-02-23 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on LIDO WELLNESS CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.