Organization Active NPI

Alavida USA

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Santa Monica, CA
National Provider Identifier
1184110678
Registry record updated Jul 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ALAVIDA USA
Practice address
2500 Broadway Ste F125
Santa Monica, CA 90404-3080
Phone
(888) 315-0587
NPI assigned
Jul 8, 2018
Last updated
Jul 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2018

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

Authorized official

Name
Alex Lee, LCSW
Title
Clinical Director
Phone
(888) 315-0887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2500 Broadway Ste F125
Santa Monica, CA 90404-3080

Mailing address

2500 Broadway Ste F125
Santa Monica, CA 90404-3080
Phone (888) 315-0587

National Provider Directory

National Provider Directory

Locations

2500 Broadway
Ste F125
Santa Monica, CA 90404
Phone (888) 315-0587

NPI Registry JSON

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531008000000",
    "number": "1184110678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BROADWAY STE F125",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043080",
            "telephone_number": "888-315-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BROADWAY STE F125",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043080",
            "telephone_number": "888-315-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAVIDA USA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "888-315-0887",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2018; 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.