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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MONTE NIDO LAKE VISTA, LLC
NPI 1780105551
Clinic/Center - Adolescent and Children Mental Health in Agoura Hills, CA

Active since July 03, 2017
29470 LAKE VISTA DR, AGOURA HILLS, CA 91301(747) 212-5021(818) 575-7327 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 2, 2026, May 27, 2020, Jul 3, 2017 (3 updates tracked since 2017).

About Monte Nido Lake Vista, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTE NIDO LAKE VISTA, LLC (NPI 1780105551), doing business as Clementine Malibu Lake, is a healthcare organization registered as an adolescent and children mental health in Agoura Hills, California and active in the NPI registry since July 2017. The organization lists Jason Schulz, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1780105551
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameMONTE NIDO LAKE VISTA, LLC
Location Address29470 LAKE VISTA DRAgoura Hills, CA 91301-2818
Mailing Address6100 Sw 76th StSouth Miami, FL 33143-5002 · (305) 663-1876 · Fax (786) 359-4485
Phone(747) 212-5021
Fax(818) 575-7327
Organization SubpartYes
Authorized OfficialJason SchulzChief Financial Officer · (305) 663-1876
Enumeration DateJuly 3, 2017
Last NPPES UpdateSeptember 2, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1780105551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
29470 LAKE VISTA DR, Agoura Hills, CA 91301
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Other Names 1

Doing Business AsClementine Malibu Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA ANN SCHOENECKER LCSW
Social Worker (Clinical)
29470 LAKE VISTA DR
AGOURA HILLS, CA 91301
Los Angeles County (747) 212-5021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monte Nido Lake Vista, LLC's NPI number?

The NPI number for Monte Nido Lake Vista, LLC is 1780105551. It was assigned to this organization in the NPPES registry on July 3, 2017. The provider is doing business as Clementine Malibu Lake.

Where is Monte Nido Lake Vista, LLC located?

Monte Nido Lake Vista, LLC is located at 29470 Lake Vista Dr, Agoura Hills, CA 91301. The listed phone number is (747) 212-5021.

What is Monte Nido Lake Vista, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

What insurance does Monte Nido Lake Vista, LLC accept?

Health plans from Kaiser Permanente list Monte Nido Lake Vista, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monte Nido Lake Vista, LLC was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.