NPIMap

Organization Active NPI

Sober Living by the Sea, Inc

  • Substance Abuse Rehabilitation Facility
  • Newport Beach, CA
National Provider Identifier
1922317460
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300044GGP Issued in CA
Legal business name
SOBER LIVING BY THE SEA, INC
Practice address
4711 Seashore Dr
Newport Beach, CA 92663-2523
Phone
(949) 673-6696
NPI assigned
Oct 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Christopher Howard
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300044GGP CA Primary

Addresses

Primary practice location

4711 Seashore Dr
Newport Beach, CA 92663-2523

Mailing address

2800 Lafayette Rd
Newport Beach, CA 92663-3753
Phone (800) 647-0042

Other names 2

  • Sierra By The Sea Doing business as
  • The Landing Other name

National Provider Directory

National Provider Directory
Tax ID family
Sober Living by the Sea Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1922317460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LAFAYETTE RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633753",
            "telephone_number": "800-647-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 SEASHORE DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632523",
            "telephone_number": "949-673-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER LIVING BY THE SEA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300044GGP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra By The Sea",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Landing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.