Active NPI
Friendship Circle of the West Coast
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pacific Palisades, CA
National Provider Identifier
1851276455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- FRIENDSHIP CIRCLE OF THE WEST COAST
- Practice address
- 17315 W Sunset Blvd
Pacific Palisades, CA 90272-4101 - Phone
- (917) 455-9179
- NPI assigned
- Aug 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shimon Goldberg
- Title
- Director
- Phone
- (917) 455-9179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
17315 W Sunset Blvd
Pacific Palisades, CA 90272-4101
Mailing address
17315 W Sunset Blvd
Pacific Palisades, CA 90272-4101
National Provider Directory
National Provider DirectoryLocations
17315 W Sunset Blvd
Pacific Palisades, CA 90272
Phone (917) 455-9179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1851276455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17315 W SUNSET BLVD",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17315 W SUNSET BLVD",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724101",
"telephone_number": "917-455-9179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDSHIP CIRCLE OF THE WEST COAST",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "SHIMON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "917-455-9179"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Palisades, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.