NPIMap

Organization Active NPI

Sea Change Santa Monica, L.P.

  • Substance Abuse Rehabilitation Facility
  • Santa Monica, CA
National Provider Identifier
1477051761
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190831CP Issued in CA
Legal business name
SEA CHANGE SANTA MONICA, L.P.
Practice address
2205 Hill St
Santa Monica, CA 90405-5007
Phone
(424) 330-0396
Fax
(323) 843-9800
NPI assigned
Feb 1, 2018
Organization subpart
Yes
Parent organization
SEA CHANGE SANTA MONICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190831CP CA Primary

Addresses

Primary practice location

2205 Hill St
Santa Monica, CA 90405-5007

Mailing address

1831 Wilshire Blvd Ste C
Santa Monica, CA 90403-5778
Phone (424) 330-0396

National Provider Directory

National Provider Directory
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.

Locations

1831 Wilshire Blvd
Ste C
Santa Monica, CA 90403
Phone (310) 877-6030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1477051761",
    "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": "2205 HILL ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904055007",
            "telephone_number": "424-330-0396",
            "fax_number": "323-843-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA CHANGE SANTA MONICA, L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEA CHANGE SANTA MONICA",
        "enumeration_date": "2018-02-01",
        "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": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190831CP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.