Canyon at Santa Monica

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190746AP Issued in CA

Legal business name

CANYON AT SANTA MONICA

Practice address

12304 Santa Monica Blvd
Suite 112
Los Angeles, CA 90025-2551

Phone

(615) 345-3200

Fax

(615) 373-4656

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Evp-Chief Financial Officer

Phone

(610) 382-3319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1891055802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DRIVE",
            "address_2": "BUILDING THREE, SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-386-7255",
            "fax_number": "615-645-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD",
            "address_2": "SUITE 112",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "615-345-3200",
            "fax_number": "615-373-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON AT SANTA MONICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EVP-CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-382-3319"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190746AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Cantu, LCSW
• Joe Xavier Cantu, MFT
• Melanie Cantu
• Bethany K Cantwell, ASW
• Kemili Janeth Canul
• Amanda Cao
• Caroline Cao, MD
• Christopher Minh-Hoang Cao, MD
• Christopher Van Cao, PHARMD
• Emily Minh Thu Cao, MD

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, 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 May 20, 2019; 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.