Seaport Care Center, L.P.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SEAPORT CARE CENTER, L.P.

Doing business as

SeaPort 17th Care Center

Practice address

1330 17TH St
Santa Monica, CA 90404-1902

Phone

(310) 829-5411

Fax

(310) 453-7704

NPI assigned

Nov 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Barry D. Friedman

Title

Administrator

Phone

(310) 829-5411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SeaPort 17th Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164403739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 17TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041902",
            "telephone_number": "310-829-5411",
            "fax_number": "310-453-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 17TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041902",
            "telephone_number": "310-829-5411",
            "fax_number": "310-453-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAPORT CARE CENTER, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-829-5411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05155I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SeaPort 17th Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sea Change Santa Monica, LP
• Sea Change Santa Monica, LP (Sea Change Santa Monica)
• Karen Seade, MPT
• Natalie Seale
• Sean Cheong F Lai
• Jeffrey L Sebastian, M.D.
• Quynh L. Sebastian, M.D.
• Second to None Management LLC
• Secure Draw Mobile Inc.
• Jeanette Eva Sedacca, LVN

• Skilled Nursing Facility in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.