Healthcare Provider Details

I. General information

NPI: 1205120235
Provider Name (Legal Business Name): AARON MICHAEL NEWMAN FNP-C, PMHNP-BC, MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 S STATE COLLEGE BLVD STE 200
BREA CA
92821-5805
US

IV. Provider business mailing address

135 S STATE COLLEGE BLVD STE 200
BREA CA
92821-5805
US

V. Phone/Fax

Practice location:
  • Phone: 714-695-5837
  • Fax: 714-364-1206
Mailing address:
  • Phone: 714-695-5837
  • Fax: 714-364-1206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95106426
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61234668
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number272711
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number202112766NP-PP
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95012595
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: