The Beacon House Association of San Pedro
NPI 1104573633 · Substance Use Disorder Rehabilitation Clinic/Center · San Pedro, CA
The Beacon House Association of San Pedro is a Substance Use Disorder Rehabilitation Clinic/Center organization in San Pedro, CA (NPI 1104573633).
Provider details
- NPI number
- 1104573633
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jonathan Higgins, Chief Compliance Officer(310) 514-4940
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Beacon House
- Other name
- Beacon House
Additional practice locations (2)
- 411 W 10th StSan Pedro, CA 90731-3213Phone: (310) 514-4940
- 126 W. 10th St.San Pedro, CA 90731Phone: (310) 514-4940
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Frequently asked questions
- What is The Beacon House Association of San Pedro's NPI number?
- The Beacon House Association of San Pedro's National Provider Identifier (NPI) is 1104573633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Beacon House Association of San Pedro?
- The Beacon House Association of San Pedro is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Beacon House Association of San Pedro located?
- The Beacon House Association of San Pedro's practice location on file with NPPES is 103 W. 11th St., San Pedro, CA 90731-4301.
- What is The Beacon House Association of San Pedro's phone number?
- The practice phone number listed in the NPPES registry for The Beacon House Association of San Pedro is (310) 514-4940.
- Who is the authorized official for The Beacon House Association of San Pedro?
- The authorized official listed on The Beacon House Association of San Pedro's NPPES record is Jonathan Higgins, Chief Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Beacon House Association of San Pedro's NPI active?
- Yes — The Beacon House Association of San Pedro's NPI (1104573633) is active in the NPPES registry as of the last update on 2024-07-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.