7966 BEVERLY BLVD., SUITE 200
NPI 1215412879
Clinic/Center - Rehabilitation, Substance Use Disorder in Los Angeles, CA
NPI Status: Active since September 30, 2018
Contact Information
7966 BEVERLY BLVD FL 2
LOS ANGELES, CA
ZIP 90048
Phone: (918) 804-7684
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 05D2157645
- CLIA Cert. Type: Other - OUTPATIENT TREATMENT
- CLIA Exp. Date: 11-07-2026
About 7966 BEVERLY BLVD., SUITE 200
This page provides the complete NPI Profile along with additional information for 7966 Beverly Blvd., Suite 200, a provider established in Los Angeles, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1215412879 assigned on September 2018. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is 7966 Beverly Blvd., Suite 200. The authorized official of this NPI record is Justin White (Ceo)
- NPI
- 1215412879
- Provider Legal Name
- PACIFIC RECOVERY SOLUTIONS
- Other Organization Name
- 7966 BEVERLY BLVD., SUITE 200
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 7966 BEVERLY BLVD FL 2 LOS ANGELES, CA 90048
- Location Phone
- (918) 804-7684
- Mailing Address
- 7966 BEVERLY BLVD STE 102 LOS ANGELES, CA 90048
- Mailing Phone
- (918) 804-7684
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-30-2018
- Last Update Date
- 01-10-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2157645
- Facility Type
- Other - OUTPATIENT TREATMENT
- Certificate Effective Date
- November 08, 2024
- Certificate Expiration Date
- November 07, 2026
- Laboratory Director
- RYAN PETERSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 7966 Beverly Blvd., Suite 200 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215412879, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LOS ANGELES, CA 90048
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215412879, enumerated as an "organization" on September 30, 2018.
The provider is located at 7966 BEVERLY BLVD FL 2 LOS ANGELES, CA 90048 and the phone number is (918) 804-7684.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
