Provider Demographics
NPI:1205120235
Name:NEWMAN, AARON MICHAEL (FNP-C, PMHNP-BC, MSN)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MICHAEL
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:FNP-C, PMHNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:135 S STATE COLLEGE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5805
Mailing Address - Country:US
Mailing Address - Phone:714-695-5837
Mailing Address - Fax:714-364-1206
Practice Address - Street 1:135 S STATE COLLEGE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5805
Practice Address - Country:US
Practice Address - Phone:714-695-5837
Practice Address - Fax:714-364-1206
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95106426163W00000X
WAAP61234668363LP0808X
AZ272711363LP0808X
OR202112766NP-PP363LP0808X, 363LP0808X
CA95012595363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty