Monte Nido Lake Vista, LLC
NPI 1780105551 · Adolescent and Children Mental Health Clinic/Center · Agoura Hills, CA
Monte Nido Lake Vista, LLC is a Adolescent and Children Mental Health Clinic/Center organization in Agoura Hills, CA (NPI 1780105551).
Provider details
- NPI number
- 1780105551
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Monte Nido Lake Vista, LLC
- Organization subpart
- Yes
- Authorized official
- Mike Bagley, Chief Financial Officer(305) 663-1876
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Clementine Malibu Lake
- Doing business as
- Clementine Malibu Lake
Registry dates
- Enumerated
- 2017-07-03
- Last updated
- 2020-05-27
- Certified
- 2020-05-27
Frequently asked questions
- What is Monte Nido Lake Vista, LLC's NPI number?
- Monte Nido Lake Vista, LLC's National Provider Identifier (NPI) is 1780105551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Monte Nido Lake Vista, LLC?
- Monte Nido Lake Vista, LLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Monte Nido Lake Vista, LLC located?
- Monte Nido Lake Vista, LLC's practice location on file with NPPES is 29470 Lake Vista Dr, Agoura Hills, CA 91301-2818.
- What is Monte Nido Lake Vista, LLC's phone number?
- The practice phone number listed in the NPPES registry for Monte Nido Lake Vista, LLC is (747) 212-5021.
- Who is the authorized official for Monte Nido Lake Vista, LLC?
- The authorized official listed on Monte Nido Lake Vista, LLC's NPPES record is Mike Bagley, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Monte Nido Lake Vista, LLC's NPI active?
- Yes — Monte Nido Lake Vista, LLC's NPI (1780105551) is active in the NPPES registry as of the last update on 2020-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.