NPIMap

Organization Active NPI

Sober Living by the Sea, Inc

Doing business as Sierra By The Sea

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
National Provider Identifier
1164812731
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOBER LIVING BY THE SEA, INC
Doing business as
Sierra By The Sea
Practice address
4138 Patrice Rd
Newport Beach, CA 92663-3618
Phone
(949) 631-2296
NPI assigned
Feb 3, 2015
Organization subpart
Yes
Parent organization
CRC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Chris Howard
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4138 Patrice Rd
Newport Beach, CA 92663-3618

Mailing address

2800 Lafayette Rd
Newport Beach, CA 92663-3753
Phone (949) 631-2296

Other names 1

  • Sierra By The Sea Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sober Living by the Sea Inc5 organizations share this tax ID, including this one
Part of
Sober Living by the Sea Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1164812731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LAFAYETTE RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633753",
            "telephone_number": "949-631-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4138 PATRICE RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633618",
            "telephone_number": "949-631-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIVING BY THE SEA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRC HEALTH",
        "enumeration_date": "2015-02-03",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra By The Sea",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.