OUTPATIENT PROGRAM
NPI 1780011569
Clinic/Center - Rehabilitation, Substance Use Disorder in Santa Monica, CA

Active since October 10, 2013
1334 LINCOLN BLVD, SANTA MONICA, CA 90401(310) 314-6200(310) 450-2024 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2024, May 23, 2023, Feb 10, 2023 and 8 more (11 updates tracked since 2017).

About Outpatient Program NPPES

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

OUTPATIENT PROGRAM (NPI 1780011569) is a healthcare organization registered as a rehabilitation, substance use disorder in Santa Monica, California and active in the NPI registry since October 2013. The organization lists Matt Walton, Interim Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1780011569
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCLARE MATRIX
Location Address1334 LINCOLN BLVDSanta Monica, CA 90401-1730
Mailing Address909 Pico BlvdSanta Monica, CA 90405-1326 · (310) 314-6200 · Fax (310) 450-2024
Fax(310) 450-2024
Organization SubpartNo
Authorized OfficialMatt WaltonInterim Executive Officer · (310) 314-6200
Enumeration DateOctober 10, 2013
Last NPPES UpdateMarch 5, 202411 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1780011569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1334 LINCOLN BLVD, Santa Monica, CA 90401

Other Names 1

Other NameOutpatient Program

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Outpatient Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Outpatient Program, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Marriage and Family Therapist
NPI 1164898078
1334 LINCOLN BLVD
Santa Monica, CA 90401
(310) 314-6200
✔ PECOSSame address
Internal Medicine
NPI 1811253909
200 UCLA MEDICAL PLZ STE 420
Los Angeles, CA 90095
(310) 207-0117
✔ PECOS✔ Accepts Medicare4.5 mi
Marriage and Family Therapist
NPI 1235358821
5220 W WASHINGTON BLVD SUITE 101
Los Angeles, CA 90016
(323) 933-9186
✔ PECOS8.0 mi
Nurse Practitioner
NPI 1649804972
11900 AVALON BLVD
Los Angeles, CA 90061
(323) 756-1317
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clare Matrix's NPI number?

The NPI number for Clare Matrix is 1780011569. It was assigned to this organization in the NPPES registry on October 10, 2013. The provider is also known as Outpatient Program.

Where is Clare Matrix located?

Clare Matrix is located at 1334 Lincoln Blvd, Santa Monica, CA 90401. The listed phone number is (310) 314-6200.

What is Clare Matrix's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Is Clare Matrix enrolled in Medicare?

Yes. Clare Matrix is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clare Matrix?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Clare Matrix, in Internal Medicine, Marriage and Family Therapist and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Clare Matrix was last updated on March 5, 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.