Organization Active NPI

Seascape Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Watsonville, CA
National Provider Identifier
1578079471
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SEASCAPE RECOVERY CENTER, LLC
Practice address
262 Gaffey Rd
Watsonville, CA 95076-9731
Phone
(855) 734-2207
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Mr. Nathan Tuddenham, CADC-CS CA
Title
Chief Operating Officer
Phone
(831) 740-4629

Specialties & licenses 1

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

Addresses

Primary practice location

262 Gaffey Rd
Watsonville, CA 95076-9731

Mailing address

262 Gaffey Rd
Watsonville, CA 95076-9731
Phone (855) 734-2207

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2059712Seascape Recovery Center, LLC262 Gaffey Rd, Watsonville, CA 95076Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1578079471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 GAFFEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950769731",
            "telephone_number": "855-734-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 GAFFEY RD",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950769731",
            "telephone_number": "855-734-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASCAPE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "TUDDENHAM",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "831-740-4629",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC-CS CA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.