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PONCIANO WELLNESS, LLC
NPI 1790077543
Psychologist - Clinical in Los Alamitos, CA

Active since May 12, 2011
5212 KATELLA AVE, SUITE 202, LOS ALAMITOS, CA 90720(888) 568-5640(562) 493-0922 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ponciano Wellness, Llc NPPES

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

PONCIANO WELLNESS, LLC (NPI 1790077543) is a healthcare organization registered as a clinical in Los Alamitos, California and active in the NPI registry since May 2011. The organization lists Roxana Lambdin, Operating Manager/ Provider, as its authorized official.

NPPES Registry Identity

NPI1790077543
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePONCIANO WELLNESS, LLC
Location Address5212 KATELLA AVE, SUITE 202Los Alamitos, CA 90720-2828
Mailing Address5212 Katella Ave, Suite 202Los Alamitos, CA 90720-2828 · (888) 568-5640 · Fax (562) 493-0922
Phone(888) 568-5640
Fax(562) 493-0922
Organization SubpartNo
Authorized OfficialRoxana LambdinOperating Manager/ Provider · (888) 568-5640
Enumeration DateMay 12, 2011
✔ NPI 1790077543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY15130
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5212 KATELLA AVE, Los Alamitos, CA 90720
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Other Identifiers 1

Other1326094442Nppes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

MEGHAN WILLIAMS M.A.,LMFT
Marriage & Family Therapist
5212 KATELLA AVE, STE. 106
LOS ALAMITOS, CA 90720
Orange County (714) 558-9266
DR. JACQUELINE MARY GRAY PH.D.
Psychologist
5212 KATELLA AVE, SUITE #202
LOS ALAMITOS, CA 90720
Orange County (562) 493-0933
DR. ROXANA LAMBDIN PH.D.
Psychologist (Clinical)
5212 KATELLA AVE, SUITE #202
LOS ALAMITOS, CA 90720
Orange County (714) 713-7932
HOLLIS K. HETTIG M.S., MFT
Marriage & Family Therapist
5212 KATELLA AVE, SUITE 101
LOS ALAMITOS, CA 90720
Orange County (714) 334-5949
ROYA DEDEAUX M.S., MFT INTERN
Marriage & Family Therapist
5212 KATELLA AVE, SUITE 101
LOS ALAMITOS, CA 90720
Orange County (562) 480-6369
PHILIP R ONCLEY PHD
Psychologist
5212 KATELLA AVE, SUITE 104
LOS ALAMITOS, CA 90720
Orange County (562) 430-7986
SOUTHERN CALIFORNIA NEURODIAGNOSTIC CENTER, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
5212 KATELLA AVE, SUITE 106
LOS ALAMITOS, CA 90720
Orange County (562) 495-3937

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 Ponciano Wellness, LLC's NPI number?

The NPI number for Ponciano Wellness, LLC is 1790077543. It was assigned to this organization in the NPPES registry on May 12, 2011.

Where is Ponciano Wellness, LLC located?

Ponciano Wellness, LLC is located at 5212 Katella Ave Suite 202, Los Alamitos, CA 90720. The listed phone number is (888) 568-5640.

What is Ponciano Wellness, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Ponciano Wellness, LLC was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.