NPIMap

Organization Active NPI

Clare Matrix

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
National Provider Identifier
1265707152
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CLARE MATRIX
Practice address
1865 9TH St
Santa Monica, CA 90404-4501
Phone
(310) 314-6200
NPI assigned
Mar 12, 2012
Reactivated
Feb 23, 2021
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Matt Walton
Title
Interim Executive Officer
Phone
(310) 314-6200

Specialties & licenses 1

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

Addresses

Primary practice location

1865 9TH St
Santa Monica, CA 90404-4501

Mailing address

909 Pico Blvd
Santa Monica, CA 90405-1326
Phone (310) 314-6200

Other names 2

  • CLARE Foundation, Inc Former legal business name
  • Healing Haven Other name

National Provider Directory

National Provider Directory
Tax ID family
Clare Matrix11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1865 9th St
Santa Monica, CA 90404
Phone (224) 300-9407

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1265707152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051326",
            "telephone_number": "310-314-6200",
            "fax_number": "310-452-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 9TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044501",
            "telephone_number": "310-314-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARE MATRIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "deactivation_date": "2021-01-28",
        "reactivation_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "INTERIM EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-314-6200"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLARE Foundation, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Healing Haven",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 5, 2024; 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.