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CANYON AT SANTA MONICA
NPI 1891055802
Substance Abuse Rehabilitation Facility in Los Angeles, CA

Active since May 23, 2012
12304 SANTA MONICA BLVD, SUITE 112, LOS ANGELES, CA 90025(615) 345-3200(615) 373-4656 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2019, Mar 6, 2019 (2 updates tracked since 2019).

About Canyon At Santa Monica NPPES

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

CANYON AT SANTA MONICA (NPI 1891055802) is a healthcare organization registered as a substance abuse rehabilitation facility in Los Angeles, California and active in the NPI registry since May 2012. The organization lists Steve Filton, Evp-chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1891055802
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCANYON AT SANTA MONICA
Location Address12304 SANTA MONICA BLVD, SUITE 112Los Angeles, CA 90025-2551
Mailing Address1000 Health Park Drive, Building Three, Suite 400Brentwood, TN 37027 · (615) 386-7255 · Fax (615) 645-7445
Phone(615) 345-3200
Fax(615) 373-4656
Organization SubpartNo
Authorized OfficialSteve FiltonEvp-chief Financial Officer · (610) 382-3319
Enumeration DateMay 23, 2012
Last NPPES UpdateMay 20, 20192 updates tracked since enumeration
✔ NPI 1891055802 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 · 190746AP
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.
12304 SANTA MONICA BLVD, Los Angeles, CA 90025
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Other Providers at the Same Location NPPES 20

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

MS. DANIELLE JAGODA LMFT
Marriage & Family Therapist
12304 SANTA MONICA BLVD, SUITE 215
LOS ANGELES, CA 90025
Los Angeles County (310) 569-2302
DR. CARON M LEWIS PH.D.
Psychologist (Clinical)
12304 SANTA MONICA BLVD, SUITE 211
LOS ANGELES, CA 90025
Los Angeles County (310) 207-4774
RICHARD ALAN GOTTFRIED MFT
Counselor
12304 SANTA MONICA BLVD, SUITE 215
LOS ANGELES, CA 90025
Los Angeles County (310) 207-5177
MR. JOHN B CHEBULTZ M.A.
Specialist/Technologist
12304 SANTA MONICA BLVD, SUITE 300
W LOS ANGELES, CA 90025
Los Angeles County (310) 288-1650
JANICE STIMSON PSY.D., R.A.S.
Psychologist (Cognitive & Behavioral)
12304 SANTA MONICA BLVD, SUITE 200
WEST LOS ANGELES, CA 90025
Los Angeles County (310) 207-4322
BARBARA EILEEN MAY MBA, MA
Marriage & Family Therapist
12304 SANTA MONICA BLVD, SUITE 315
LOS ANGELES, CA 90025
Los Angeles County (424) 888-2757
MS. SABA HAROUNI
Marriage & Family Therapist
12304 SANTA MONICA BLVD, SUITE 327
LOS ANGELES, CA 90025
Los Angeles County (323) 388-5578
DEBORAH SHAMTOUB RBT
Behavior Technician
12304 SANTA MONICA BLVD
LOS ANGELES, CA 90025
Los Angeles County (310) 926-5753

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 Canyon At Santa Monica's NPI number?

The NPI number for Canyon At Santa Monica is 1891055802. It was assigned to this organization in the NPPES registry on May 23, 2012.

Where is Canyon At Santa Monica located?

Canyon At Santa Monica is located at 12304 Santa Monica Blvd Suite 112, Los Angeles, CA 90025. The listed phone number is (615) 345-3200.

What is Canyon At Santa Monica'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 Canyon At Santa Monica was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.