Individual provider Active NPI

Alan Louis Schneider, MD

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1639110869
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G53402 Issued in CA
Practice address
1151 Dove St Ste 100
Newport Beach, CA 92660-2805
Phone
(818) 472-1132
Fax
(818) 786-0530
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 G53402 CA Primary

Addresses

Primary practice location

1151 Dove St Ste 100
Newport Beach, CA 92660-2805

Mailing address

106 Via Xanthe
Newport Beach, CA 92663-5519
Phone (818) 472-1132

Other identifiers 1

IdentifierTypeStateIssuer
G53402OtherCAMEDICAL LICENSE

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
I20130808000701 CA Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 1153563853 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alan L Schneider MD Professional Corporation Psychiatry Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jan 1, 2008 Accepting new patients
Monica Perlman MD Inc. CurrentSince Dec 11, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2008 Accepting new patients

Locations

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

13547 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 968-4242

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 7

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1639110869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 VIA XANTHE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635519",
            "telephone_number": "818-472-1132",
            "fax_number": "818-786-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602805",
            "telephone_number": "818-472-1132",
            "fax_number": "818-786-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ALAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G53402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G53402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.