Organization Active NPI

The Sequoia Center

  • Substance Abuse Rehabilitation Facility
  • Redwood City, CA
National Provider Identifier
1386708311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
410032BP Issued in CA
Legal business name
THE SEQUOIA CENTER
Practice address
650 Main St
Redwood City, CA 94063-1922
Phone
(650) 364-5504
Fax
(650) 261-3977
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
April J Antoniou
Title
Credentialing Services Manager
Phone
(805) 413-1318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 410032BP CA Primary

Addresses

Primary practice location

650 Main St
Redwood City, CA 94063-1922

Mailing address

3717 E Thousand Oaks Blvd
Suite 266
Westlake Village, CA 91362-3607
Phone (805) 413-1318

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386708311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 266",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623607",
            "telephone_number": "805-413-1318",
            "fax_number": "805-413-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631922",
            "telephone_number": "650-364-5504",
            "fax_number": "650-261-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SEQUOIA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANTONIOU",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SERVICES MANAGER",
        "authorized_official_telephone_number": "805-413-1318"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "410032BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.