Organization Active NPI

Hotel California by the Sea Bellevue, LLC.

  • Substance Abuse Rehabilitation Facility
  • Kirkland, WA
National Provider Identifier
1760090518
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.
Practice address
7810 130TH Ave NE
Kirkland, WA 98033-8251
Phone
(844) 766-8717
NPI assigned
Jul 17, 2020
Organization subpart
Yes
Parent organization
HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Bryan Bixler
Title
Chief Program Officer
Phone
(844) 766-8717

Specialties & licenses 1

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

Addresses

Primary practice location

7810 130TH Ave NE
Kirkland, WA 98033-8251

Mailing address

3419 Via Lido Ste 145
Newport Beach, CA 92663-3908
Phone (844) 766-8717

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
50D2165605Hotel California by the Sea Bellevue7810 130TH Ave NE, Kirkland, WA 98033Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Hotel California by the Sea Bellevue LLC5 organizations share this tax ID, including this one
Part of
Hotel California by the Sea Bellevue LLC

Other organizations with this tax ID 4

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1760090518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIA LIDO STE 145",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633908",
            "telephone_number": "844-766-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 130TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338251",
            "telephone_number": "844-766-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOTEL CALIFORNIA BY THE SEA BELLEVUE, LLC.",
        "enumeration_date": "2020-07-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "BIXLER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "844-766-8717"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.