NPIMap

Organization Active NPI

The Beacon House Association of San Pedro

Doing business as Beacon House

  • Substance Abuse Rehabilitation Facility
  • San Pedro, CA
National Provider Identifier
1386197267
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190006BN Issued in CA
Legal business name
THE BEACON HOUSE ASSOCIATION OF SAN PEDRO
Doing business as
Beacon House
Practice address
132 W 10TH St
San Pedro, CA 90731-3702
Phone
(310) 514-4940
Fax
(310) 831-0070
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Brian Smith
Title
Management Director
Phone
(310) 514-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190006BN CA Primary

Addresses

Primary practice location

132 W 10TH St
San Pedro, CA 90731-3702

Mailing address

PO Box 328
San Pedro, CA 90733-0328
Phone (310) 514-4940

Other names 1

  • Beacon House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beacon House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1386197267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907330328",
            "telephone_number": "310-514-4940",
            "fax_number": "310-831-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 W 10TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313702",
            "telephone_number": "310-514-4940",
            "fax_number": "310-831-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACON HOUSE ASSOCIATION OF SAN PEDRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGEMENT DIRECTOR",
        "authorized_official_telephone_number": "310-514-4940"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190006BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beacon House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.