Sydea Medical Practice Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

115232 Issued in CA

Legal business name

SYDEA MEDICAL PRACTICE INC

Practice address

20311 SW Birch St
Suite 100
Newport Beach, CA 92660-1777

Phone

(949) 345-5990

Fax

(949) 861-6514

NPI assigned

Jun 8, 2015

Last updated

Nov 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Venice SanchezNPI 1609004837

Title

Owner

Phone

(949) 345-5990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venice Lopez Sanchez, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1609004837
  Medicare reassignment NPD Authorized official
• Sharmila Bhaduri, M.S

  • Marriage & Family Therapist
  • Huntington Beach, CA
  • NPI 1104991058
  NPD (past)
• Claire Wilson, PH.D.

  • Mental Health Counselor
  • Fountain Valley, CA
  • NPI 1275524753
  NPD (past)
• Susan Zachariah, MD

  • Psychiatry Physician
  • Lake Forest, CA
  • NPI 1336256585
  NPD (past)

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1528448214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 SW BIRCH ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601777",
            "telephone_number": "949-345-5990",
            "fax_number": "949-861-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 SW BIRCH ST",
            "address_2": "SUITE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601777",
            "telephone_number": "949-345-5990",
            "fax_number": "949-861-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYDEA MEDICAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "VENICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-345-5990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "115232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Swanson, PHD
• Jasmine Jumaria Sweeney
• Sweet Cute Inc (Mariners Pharmacy)
• Gabriela E. Sweidan
• Sydea Enterprises Inc.
• Syed Naqvi MD Medical PC
• Sameena Sharieff Syed, DO
• Lea Syfers
• Synergy Authorization Services
• Synergy Health Concepts

• Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.