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BEACON HOUSE
NPI 1386197267
Substance Abuse Rehabilitation Facility in San Pedro, CA

Active since July 27, 2016
132 W 10TH ST, SAN PEDRO, CA 90731(310) 514-4940(310) 831-0070 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beacon House NPPES

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

BEACON HOUSE (NPI 1386197267) is a healthcare organization registered as a substance abuse rehabilitation facility in San Pedro, California and active in the NPI registry since July 2016. The organization lists Brian Smith, Management Director, as its authorized official.

NPPES Registry Identity

NPI1386197267
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTHE BEACON HOUSE ASSOCIATION OF SAN PEDRO
Location Address132 W 10TH STSan Pedro, CA 90731-3702
Mailing AddressPo Box 328San Pedro, CA 90733-0328 · (310) 514-4940 · Fax (310) 831-0070
Phone(310) 514-4940
Fax(310) 831-0070
Organization SubpartNo
Authorized OfficialBrian SmithManagement Director · (310) 514-4940
Enumeration DateJuly 27, 2016
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1386197267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 190006BN
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
132 W 10TH ST, San Pedro, CA 90731
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Other Names 1

Doing Business AsBeacon House

Other Providers at the Same Location NPPES 10

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

MARY SUSAN COOK
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
MR. BRYCE HART MOULTON 14303-RAC
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
CODY SPENCER BLACK RADT
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
ROBERT DAVIS
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
ANDREW WILLIAM BOLAN RADT
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
RANDY HOLSOPPLE CATC
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940
SLOANE K SMITH SUDRC #12356
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 872-5939
VAUGHNDRELL LANCE WATKINS RADT
Counselor (Addiction (Substance Use Disorder))
132 W 10TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 514-4940

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 1386197267. It was assigned to this organization in the NPPES registry on July 27, 2016. The provider is doing business as Beacon House.

Where is The Beacon House Association Of San Pedro located?

The Beacon House Association Of San Pedro is located at 132 W 10th 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 Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for The Beacon House Association Of San Pedro was last updated on August 30, 2023. 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.