Organization Active NPI

South Bay Behavioral Health Virtual, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport Beach, CA
National Provider Identifier
1083524920
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTH BAY BEHAVIORAL HEALTH VIRTUAL, INC.
Practice address
2901 W Coast Hwy Ste 214
Newport Beach, CA 92663-4023
Phone
(844) 316-2228
NPI assigned
Sep 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Brett Lashure
Title
Owner/Ceo
Phone
(760) 473-8807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2901 W Coast Hwy Ste 214
Newport Beach, CA 92663-4023

Mailing address

1525 Aviation Blvd Ste 121
Redondo Beach, CA 90278-2805
Phone (844) 316-2228

NPI Registry JSON

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1083524920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 AVIATION BLVD STE 121",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782805",
            "telephone_number": "844-316-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W COAST HWY STE 214",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634023",
            "telephone_number": "844-316-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY BEHAVIORAL HEALTH VIRTUAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "LASHURE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "760-473-8807"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.