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SOBER STAGES INC. OUTPATIENT PROGRAM
NPI 1497178966
Clinic/Center - Rehabilitation, Substance Use Disorder in Tarzana, CA

Active since February 03, 2014
19562 VENTURA BLVD, SUITE 233, TARZANA, CA 91356(310) 810-8216 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sober Stages Inc. Outpatient Program NPPES

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

SOBER STAGES INC. OUTPATIENT PROGRAM (NPI 1497178966) is a healthcare organization registered as a rehabilitation, substance use disorder in Tarzana, California and active in the NPI registry since February 2014. The organization lists Sara Bivans, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1497178966
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOBER STAGES INC. OUTPATIENT PROGRAM
Location Address19562 VENTURA BLVD, SUITE 233Tarzana, CA 91356-2955
Mailing Address19562 Ventura Blvd, Suite 233Tarzana, CA 91356-2955 · (310) 810-8216
Phone(310) 810-8216
Organization SubpartNo
Authorized OfficialSara BivansExecutive Director · (310) 810-8216
Enumeration DateFebruary 3, 2014
Last NPPES UpdateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1497178966 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
License✔ Licensed in CA · LR1170411
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
19562 VENTURA BLVD, Tarzana, CA 91356
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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 Sober Stages Inc. Outpatient Program's NPI number?

The NPI number for Sober Stages Inc. Outpatient Program is 1497178966. It was assigned to this organization in the NPPES registry on February 3, 2014.

Where is Sober Stages Inc. Outpatient Program located?

Sober Stages Inc. Outpatient Program is located at 19562 Ventura Blvd Suite 233, Tarzana, CA 91356. The listed phone number is (310) 810-8216.

What is Sober Stages Inc. Outpatient Program'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 Sober Stages Inc. Outpatient Program was last updated on February 8, 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.