NPIMap

Organization Active NPI

Seaside Recovery Centers, LLC.

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1851671648
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190695AP Issued in CA
Legal business name
SEASIDE RECOVERY CENTERS, LLC.
Practice address
32223 Pacific Coast Hwy
Malibu, CA 90265-2529
Phone
(424) 235-2013
Fax
(424) 235-2017
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Sheila Shilati, PSY.D.
Title
Coo
Phone
(424) 234-2013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190695AP CA Primary

Addresses

Primary practice location

32223 Pacific Coast Hwy
Malibu, CA 90265-2529

Mailing address

1801 W Olympic Blvd
File 1441
Pasadena, CA 91199-1441
Phone (800) 990-0340

Other names 1

  • Seasons in Malibu Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seaside Recovery Centers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1851671648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W OLYMPIC BLVD",
            "address_2": "FILE 1441",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911991441",
            "telephone_number": "800-990-0340",
            "fax_number": "954-208-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32223 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652529",
            "telephone_number": "424-235-2013",
            "fax_number": "424-235-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE RECOVERY CENTERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "SHILATI",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "424-234-2013",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190695AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seasons in Malibu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.