NPIMap

Organization Active NPI

Seasons Recovery Centers, LLC.

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1497050199
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190695BP Issued in CA
Legal business name
SEASONS RECOVERY CENTERS, LLC.
Practice address
30765 Pacific Coast Highway
Malibu, CA 90265
Phone
(424) 234-2057
Fax
(424) 234-2051
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Dr. Sheila Shilati, PSY.D.
Title
Chief Operating Officer
Phone
(424) 234-2060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190695BP CA Primary

Addresses

Primary practice location

30765 Pacific Coast Highway
Malibu, CA 90265

Mailing address

1801 W. Olympic Blve - File 1441
Pasadena, CA 90265
Phone (424) 234-2057

Other names 1

  • Seasons in Malibu Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seaside Recovery Centers LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1497050199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W. OLYMPIC BLVE - FILE 1441",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "424-234-2057",
            "fax_number": "424-234-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HIGHWAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "424-234-2057",
            "fax_number": "424-234-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS RECOVERY CENTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "SHILATI",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "424-234-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190695BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons in Malibu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 25, 2015; 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.