Individual provider Active NPI

Venice Lopez Sanchez, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1609004837
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A115232 Issued in CA
Practice address
20311 SW Birch St
Suite 100
Newport Beach, CA 92660-1777
Phone
(949) 345-5990
Fax
(949) 861-6514
NPI assigned
Jun 25, 2009
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 A115232 CA Primary

Addresses

Primary practice location

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

Mailing address

20311 SW Birch St
Suite 100
Newport Beach, CA 92660-1777
Phone (949) 345-5990

Other practice location 1

7205 Cypress Dr
Fort Myers, FL 33907-2975
Phone (772) 812-9652

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714000424 CA Practitioner - PsychiatryPractitioner - Addiction Medicine 1759693591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Michigan State University College of Human Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20311 SW Birch St
Suite 100
Newport Beach, CA 92660-1778
Phone (949) 345-5990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115232CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akua Behavioral Health, Inc CurrentSince Jan 1, 2021 Accepting new patients
Akua Behavioral Health, Inc CurrentSince Jan 1, 2021 Accepting new patients
Sydea Medical Practice Inc Psychiatry CurrentSince May 13, 2015 Accepting new patients
Akua Behavioral Health, Inc Current Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Present Moments Recovery Past Accepting new patients
Akua Behavioral Health, Inc. Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc. Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients
Akua Behavioral Health, Inc Past Accepting new patients

Locations

20271 SW Birch St
Ste 200
Newport Beach, CA 92660
Phone (562) 212-0521

20271 SW Birch St
Ste 202
Newport Beach, CA 92660
Phone (949) 833-8100

20311 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 226-1715

3025 Reynard Way
San Diego, CA 92103
Phone (760) 840-3717

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1609004837",
    "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": [
        {
            "address_1": "7205 Cypress Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339072975",
            "country_code": "US",
            "telephone_number": "772-812-9652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "VENICE",
        "middle_name": "LOPEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A115232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.