Organization Active NPI

Beach Cities Gateway

Doing business as Beach Cities Gateway-Young Adult Life Skills

  • Adult Mental Health Clinic/Center
  • Rolling Hills Estates, CA
National Provider Identifier
1316770563
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BEACH CITIES GATEWAY
Doing business as
Beach Cities Gateway-Young Adult Life Skills
Practice address
734 Bart Earle Way Ste 306
Rolling Hills Estates, CA 90274-3667
Phone
(310) 953-5169
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Lilian Debbie Murad, LCSWNPI 1528297165
Title
Founder/Ceo
Phone
(310) 953-5169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

734 Bart Earle Way Ste 306
Rolling Hills Estates, CA 90274-3667

Mailing address

1411 Silvius Ave
San Pedro, CA 90731-6039
Phone (310) 953-5169

Other names 1

  • Beach Cities Gateway-Young Adult Life Skills Doing business as

National Provider Directory

National Provider Directory

Locations

734 Bart Earle Way
Ste 306
Rolling Hills Estates, CA 90274
Phone (310) 953-5169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1316770563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SILVIUS AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316039",
            "telephone_number": "310-953-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 BART EARLE WAY STE 306",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743667",
            "telephone_number": "310-953-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES GATEWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MURAD",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_middle_name": "DEBBIE",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "310-953-5169",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Cities Gateway-Young Adult Life Skills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.