Monte Nido Lake Vista, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

MONTE NIDO LAKE VISTA, LLC

Practice address

29470 Lake Vista Dr
Agoura Hills, CA 91301-2818

Phone

(747) 212-5021

Fax

(818) 575-7327

NPI assigned

Jul 3, 2017

Organization subpart

Yes

Parent organization

MONTE NIDO LAKE VISTA, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jason Schulz

Title

Chief Financial Officer

Phone

(305) 663-1876

Specialties & licenses 1

Addresses

Other names 1

• Clementine Malibu Lake Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Monte Nido Lake Vista LLC4 organizations share this tax ID, including this one

Part of

Monte Nido Lake Vista LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Monte Nido Lake Vista, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Lafayette, CA
  • NPI 1053934984
  NPD tax ID
• Monte Nido Lake Vista, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Yorba Linda, CA
  • NPI 1609501279
  NPD tax ID
• Monte Nido Lake Vista, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Agoura Hills, CA
  • NPI 1730357930
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olivia Ann Schoenecker, LCSW

  • Clinical Social Worker
  • Agoura Hills, CA
  • NPI 1528637923
  NPD

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1780105551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SW 76TH ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435002",
            "telephone_number": "305-663-1876",
            "fax_number": "786-359-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29470 LAKE VISTA DR",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012818",
            "telephone_number": "747-212-5021",
            "fax_number": "818-575-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE NIDO LAKE VISTA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTE NIDO LAKE VISTA, LLC",
        "enumeration_date": "2017-07-03",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "305-663-1876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clementine Malibu Lake",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clementine Malibu Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Mogul
• Akikur Reza Mohammad, M.D.
• Samantha Nicole Molinar, LMFT
• Janine Molnar
• Monte Nido Lake Vista, LLC
• Fernanda Monteon Ibarra, AGACNP-BC
• Megan Moran
• Paloma Moran, PSYD, LP
• Johnnie C Morgan IV, DC
• Roxanna Morton

• Adolescent and Children Mental Health Clinic/Center in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.