NPIMap

Individual provider Active NPI

Andrew Schneider, DO

  • Psychiatry Physician
  • Aliso Viejo, CA
National Provider Identifier
1124244272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A9143 Issued in CA
Practice address
6B Liberty Plaza Suite 100
Aliso Viejo, CA 92656
Phone
(949) 365-0063
Fax
(949) 365-9071
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A9143 CA Primary

Addresses

Primary practice location

6B Liberty Plaza Suite 100
Aliso Viejo, CA 92656

Mailing address

7227 Palo Verde Rd
Irvine, CA 92617-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924003498 CA Practitioner - Psychiatry 5395164354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9143CAMDPsychiatry Physician
9143CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Schneider, DO, Inc CurrentSince Sep 16, 2020 Accepting new patients
Rising Roads Recovery Services for Women, LLC Past Accepting new patients
Miramar Health, Inc. Past Accepting new patients
Pace Recovery Center, LLC Past Accepting new patients
Miramar Health Inc Past Accepting new patients
Miramar Health Inc Past Accepting new patients
Rising Roads Recovery Services for Women, LLC Past Accepting new patients
Rising Roads Recovery Services for Women, LLC Past Accepting new patients
Miramar Health Inc Past Accepting new patients
Miramar Health Inc Past Accepting new patients

Locations

1151 Dove St
Ste 295
Newport Beach, CA 92660
Phone (949) 851-9613

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124244272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 PALO VERDE RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926174356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6B LIBERTY PLAZA SUITE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-365-0063",
            "fax_number": "949-365-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A9143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.