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SANTA MONICA DETOX
NPI 1720859341
Substance Abuse Rehabilitation Facility in Santa Monica, CA

Active since January 11, 2024CLIA 05D2306710 · Waiver
729 17TH ST, SANTA MONICA, CA 90402(310) 343-8684 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Santa Monica Detox NPPES

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

SANTA MONICA DETOX (NPI 1720859341) is a healthcare organization registered as a substance abuse rehabilitation facility in Santa Monica, California and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Nathan Young, Manager, as its authorized official.

NPPES Registry Identity

NPI1720859341
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSANTA MONICA DETOX
Location Address729 17TH STSanta Monica, CA 90402-3011
Mailing Address729 17th StSanta Monica, CA 90402-3011
Phone(310) 343-8684
Organization SubpartNo
Authorized OfficialNathan YoungManager · (310) 343-8684
Enumeration DateJanuary 11, 2024
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1720859341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
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.
Also ListedRehabilitation, Substance Use Disorder UnitTaxonomy 276400000X
729 17TH ST, Santa Monica, CA 90402
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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 05D2306710

Santa Monica Detox LLC · Santa Monica, CA
Active · expires Jun 23, 2028
CLIA Number05D2306710
Laboratory TypeResidential Drug Trmt Ctr
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorJong Kim
Laboratory Phone(213) 205-8221
Laboratory LocationSanta Monica Detox LLC729 17th Street, Santa Monica, CA 90402
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Santa Monica Detox's NPI number?

The NPI number for Santa Monica Detox is 1720859341. It was assigned to this organization in the NPPES registry on January 11, 2024.

Where is Santa Monica Detox located?

Santa Monica Detox is located at 729 17th St, Santa Monica, CA 90402. The listed phone number is (310) 343-8684.

What is Santa Monica Detox's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Santa Monica Detox hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2306710) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Santa Monica Detox was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.