Sea Change Santa Monica, LP

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190831BP Issued in CA

Legal business name

SEA CHANGE SANTA MONICA, LP

Practice address

1807 Pier Ave
Santa Monica, CA 90405-5947

Phone

(888) 823-3310

Fax

(323) 843-9800

NPI assigned

Jan 22, 2018

Organization subpart

Yes

Parent organization

SEA CHANGE SANTA MONICA, L.P.As reported in NPPES

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

Authorized official

Name

Alexxis Kyla Ames

Title

Insurance Manager

Phone

(424) 330-0396

Specialties & licenses 4

Addresses

Other names 1

• Sea Change Santa Monica Doing business as

Tax ID family

Sea Change Santa Monica LP3 organizations share this tax ID, including this one

Part of

Sea Change Santa Monica LP

Other organizations with this tax ID 2

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

• Sea Change Santa Monica, L.P.

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
  • NPI 1477051761
  NPD tax ID
• Sea Change Santa Monica, LP

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
  • NPI 1063899524
  NPD tax ID

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1306354634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WILSHIRE BLVD STE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035778",
            "telephone_number": "424-330-0396",
            "fax_number": "323-843-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 PIER AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055947",
            "telephone_number": "888-823-3310",
            "fax_number": "323-843-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Hill St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904055007",
            "country_code": "US",
            "telephone_number": "888-823-3310",
            "fax_number": "323-843-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1831 Wilshire Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035778",
            "country_code": "US",
            "telephone_number": "424-330-0396",
            "fax_number": "323-843-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Princeton St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "90403",
            "country_code": "US",
            "telephone_number": "888-823-3310",
            "fax_number": "323-843-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEA CHANGE SANTA MONICA, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEA CHANGE SANTA MONICA, L.P.",
        "enumeration_date": "2018-01-22",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "ALEXXIS",
        "authorized_official_middle_name": "KYLA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "424-330-0396"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "190831AP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190831BP",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190831CP",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sea Change Santa Monica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sea Change
• Sea Change Recovery 2 LLC
• Sea Change Recovery 2 LLC
• Sea Change Santa Monica, L.P.
• Sea Change Santa Monica, LP
• Karen Seade, MPT
• Natalie Seale
• Sean Cheong F Lai
• Seaport Care Center, L.P.
• Jeffrey L Sebastian, M.D.

• Substance Abuse Rehabilitation Facility in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.