BEACON HOUSE
NPI 1104573633
Clinic/Center - Rehabilitation, Substance Use Disorder in San Pedro, CA

Q: What is The Beacon House Association Of San Pedro's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since March 04, 2022

103 W. 11TH ST., SAN PEDRO, CA 90731(310) 514-4940 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 11, 2024, Aug 30, 2023, Aug 7, 2023 and 1 more (4 updates tracked since 2022).

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About Beacon House NPPES

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

BEACON HOUSE (NPI 1104573633) is a healthcare organization registered as a rehabilitation, substance use disorder in San Pedro, California and active in the NPI registry since March 2022. The organization maintains 2 additional practice locations and lists Jonathan Higgins, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1104573633

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameTHE BEACON HOUSE ASSOCIATION OF SAN PEDRO

Location Address103 W. 11TH ST.San Pedro, CA 90731-4301

Mailing AddressPo Box 328San Pedro, CA 90733-0328 · (310) 514-4940

Phone(310) 514-4940

Organization SubpartNo

Authorized OfficialJonathan HigginsChief Compliance Officer · (310) 514-4940

Enumeration DateMarch 4, 2022

Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1104573633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X

103 W. 11TH ST., San Pedro, CA 90731

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Other Names 1

Other NameBeacon House

Secondary Practice Locations 2

Location 1411 W 10th StSan Pedro, CA 90731-3213 · Phone (310) 514-4940 ext. 861

Location 2126 W. 10th St.San Pedro, CA 90731 · Phone (310) 514-4940 ext. 861

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 The Beacon House Association Of San Pedro's NPI number?

The NPI number for The Beacon House Association Of San Pedro is 1104573633. It was assigned to this organization in the NPPES registry on March 4, 2022. The provider is also known as Beacon House.

Where is The Beacon House Association Of San Pedro located?

The Beacon House Association Of San Pedro is located at 103 W. 11th St., San Pedro, CA 90731. The listed phone number is (310) 514-4940.

What is The Beacon House Association Of San Pedro's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for The Beacon House Association Of San Pedro was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.