SILICON BEACH OUTPATIENT CENTER, LLC
NPI 1164881280
Clinic/Center - Rehabilitation, Substance Use Disorder in Los Angeles, CA
About Silicon Beach Outpatient Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SILICON BEACH OUTPATIENT CENTER, LLC (NPI 1164881280) is a healthcare organization registered as a rehabilitation, substance use disorder in Los Angeles, California and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Joseph Grossman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 05D2126645
Silicon Beach Outpatient, LLC · Los Angeles, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Silicon Beach Outpatient Center, LLC's NPI number?
The NPI number for Silicon Beach Outpatient Center, LLC is 1164881280. It was assigned to this organization in the NPPES registry on February 17, 2016.
Where is Silicon Beach Outpatient Center, LLC located?
Silicon Beach Outpatient Center, LLC is located at 10211 Venice Blvd, Los Angeles, CA 90034. The listed phone number is (310) 795-0542.
What is Silicon Beach Outpatient Center, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Silicon Beach Outpatient Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2126645) is associated with this NPI, valid through March 1, 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 Silicon Beach Outpatient Center, LLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Silicon Beach Outpatient Center, Llc · NPI 1164881280
Rehabilitation, Substance Use Disorder organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since February 17, 2016.
## Identity
- **NPI:** 1164881280 (Entity type: Organization)
- **Enumerated:** February 17, 2016
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Joseph Grossman, CEO
## Practice location
- **Address:** 10211 VENICE BLVD, Los Angeles, CA 90034-5969
- **Phone:** (310) 795-0542
## Record status
- **NPPES last updated:** April 12, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164881280) · Data from the CMS NPPES public registry.