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PICO OUTPATIENT
NPI 1063878510
Community/Behavioral Health in Santa Monica, CA

Active since January 13, 2016CLIA 05D2128589 · Waiver
1002 PICO BLVD, SANTA MONICA, CA 90405(310) 314-6200(310) 450-2024 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 20, 2024, Mar 5, 2024, May 23, 2023 and 7 more (10 updates tracked since 2016).

About Pico Outpatient NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PICO OUTPATIENT (NPI 1063878510) is a healthcare organization registered as a community/behavioral health in Santa Monica, California and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Matt Walton, Interim Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1063878510
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCLARE MATRIX
Location Address1002 PICO BLVDSanta Monica, CA 90405-1416
Mailing Address909 Pico BlvdSanta Monica, CA 90405-1326 · (310) 314-6200 · Fax (310) 450-2024
Phone(310) 314-6200
Fax(310) 450-2024
Organization SubpartNo
Authorized OfficialMatt WaltonInterim Executive Officer · (310) 314-6200
Enumeration DateJanuary 13, 2016
Last NPPES UpdateSeptember 20, 202410 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1063878510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1002 PICO BLVD, Santa Monica, CA 90405
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Other Names 1

Other NamePico Outpatient

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2128589

Pico Outpatient · Santa Monica, CA
Active · expires Apr 2, 2027
CLIA Number05D2128589
Laboratory TypeSubstance Outpatient
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorJonathan Quach
Laboratory Phone(310) 314-6200
Laboratory LocationPico Outpatient1002 Pico Blvd, Santa Monica, CA 90405
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS CARLY ELIZABETH DECERCE RAD-T LEVEL I
Counselor (Addiction (Substance Use Disorder))
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 848-7132
GENEVA SHAREE AUSTIN
Counselor (Addiction (Substance Use Disorder))
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (866) 452-5273
JONATHAN KACHURKA
Counselor (Addiction (Substance Use Disorder))
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
KRISTIE JILL MARTIN
Social Worker
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (866) 452-5273
TRACI COOLEY
Counselor (Addiction (Substance Use Disorder))
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
MS. SHANNON YVVETTE WRIGHT
Counselor (Addiction (Substance Use Disorder))
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
AMANDA JOSEFINA ESTRELLA MA, MFTI
Marriage & Family Therapist
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
MR. WAYMAN ALEXANDER COOLEY SR.
Counselor (Addiction (Substance Use Disorder))
1002 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (866) 452-5273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clare Matrix's NPI number?

The NPI number for Clare Matrix is 1063878510. It was assigned to this organization in the NPPES registry on January 13, 2016. The provider is also known as Pico Outpatient.

Where is Clare Matrix located?

Clare Matrix is located at 1002 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.

What is Clare Matrix's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Clare Matrix hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2128589) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clare Matrix was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.