Carrara Beach House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

CARRARA BEACH HOUSE

Practice address

31652 Broad Beach Rd
Malibu, CA 90265-2617

Phone

(424) 421-6610

Fax

(213) 334-4100

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Christian

Title

Cfo

Phone

(205) 712-2153

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1841978251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 MARCHEETA PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900691116",
            "telephone_number": "424-421-6610",
            "fax_number": "213-334-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31652 BROAD BEACH RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652617",
            "telephone_number": "424-421-6610",
            "fax_number": "213-334-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRARA BEACH HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-06-03",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-712-2153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.