Silicon Beach Sober Living

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SILICON BEACH SOBER LIVING

Practice address

14725 Weddington St
Sherman Oaks, CA 91411-4043

Phone

(310) 795-0542

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Yosef Grossman

Title

Ceo

Phone

(310) 795-0542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1841855079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 WEDDINGTON ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914114043",
            "telephone_number": "310-795-0542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 1/2 Kester Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914113030",
            "country_code": "US",
            "telephone_number": "310-795-0542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5803 Kester Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914113014",
            "country_code": "US",
            "telephone_number": "310-795-0542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5807 Kester Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914113014",
            "country_code": "US",
            "telephone_number": "310-795-0542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5809 Kester Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914113014",
            "country_code": "US",
            "telephone_number": "310-795-0542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5805 Kester Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914113014",
            "country_code": "US",
            "telephone_number": "310-795-0542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SILICON BEACH SOBER LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-795-0542"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manjit Sidhu
• Marina Sidorenko
• David Alan Siegel, DDS
• Joseph G. Siegel, O. D.
• Santiago Sierra, PA
• Edith Gabriela Silva
• Veronica Silva
• Arjun Basu Silverberg
• Harvey Henoch Silverberg, M.D.
• Leah Silverman, MA

• Substance Abuse Rehabilitation Facility in Sherman Oaks, CA
• Providers in Sherman Oaks, 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 Aug 31, 2023; 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.