Active NPI
Hotel California by the Sea Bellevue, LLC.
- Substance Abuse Rehabilitation Facility
- Kirkland, WA
National Provider Identifier
1760090518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2165605 | Hotel California by the Sea Bellevue | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Hotel California by the Sea Bellevue LLC
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bothell, WA
- NPI 1083313811
-
- Substance Abuse Rehabilitation Facility
- Kirkland, WA
- NPI 1275267155
-
- Substance Abuse Rehabilitation Facility
- Kirkland, WA
- NPI 1295470029
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bellevue, WA
- NPI 1023506714
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.