NPIMap

Organization Active NPI

Seasons Recovery Centers-Acupuncture

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1477844462
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
15523 Issued in CA
Legal business name
SEASONS RECOVERY CENTERS-ACUPUNCTURE
Practice address
30245 Pacific Coast Hwy
30245 Pacific Coast Highway
Malibu, CA 90265-3603
Phone
(818) 635-9380
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Mr. Christopher James Bathum, PA
Title
Chief Executive Officer
Phone
(818) 635-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 15523 CA Primary

Addresses

Primary practice location

30245 Pacific Coast Hwy
30245 Pacific Coast Highway
Malibu, CA 90265-3603

Mailing address

30245 Pacific Coast Hwy
30245 Pacific Coast Highway
Malibu, CA 90265-3603
Phone (818) 635-9380

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1477844462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30245 PACIFIC COAST HWY",
            "address_2": "30245 PACIFIC COAST HIGHWAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653603",
            "telephone_number": "818-635-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30245 PACIFIC COAST HWY",
            "address_2": "30245 PACIFIC COAST HIGHWAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653603",
            "telephone_number": "818-635-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS RECOVERY CENTERS-ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "BATHUM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-635-9380",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "15523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.