Provider Demographics
NPI:1205120235
Name:NEWMAN, AARON MICHAEL (MSN, FNP-C PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:MICHAEL
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MSN, FNP-C PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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:562-746-7168
Mailing Address - Fax:
Practice Address - Street 1:10260 SW GREENBURG RD STE 400
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-5514
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:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31998111N00000X
CA95012595363LF0000X
WAAP61234668363LP0808X
NDR51807363LP0808X
AZ272711363LP0808X
OR202112766NP-PP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty