The Tides Santa Barbara LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

420035AP Issued in CA

Legal business name

THE TIDES SANTA BARBARA LLC

Practice address

5277 Austin Rd
Santa Barbara, CA 93111-2905

Phone

(805) 636-6335

NPI assigned

Feb 23, 2012

Last updated

Feb 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Dalton Gerlach

Title

Managing Member

Phone

(805) 636-6335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1568736403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 AUSTIN RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112905",
            "telephone_number": "805-636-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 AUSTIN RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112905",
            "telephone_number": "805-636-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TIDES SANTA BARBARA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DALTON",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "805-636-6335",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "420035AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Physio Room - a Physical Therapy Corporation
• The Regents of the University of California (UCSB Rescue Ambulance Service)
• The Salvation Army
• The Salvation Army
• The Santa Barbara House
• Hannah Macdonald Therrien, RN
• William J Theurer, MD
• Pamela D Thiene, M.D.
• David Scott Thoman, M.D.
• Danielle Thomas, MD

• Substance Abuse Rehabilitation Facility in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.