OrganizationActive
The Beacon House Association of San Pedro
NPI 1104573633 · Substance Use Disorder Rehabilitation Clinic/Center · San Pedro, CA
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
Established profile(70/100 index)
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
103 W. 11th St.
San Pedro, CA 90731-4301
Phone: (310) 514-4940
Street-level locationGet directions
Mailing address
Po Box 328
San Pedro, CA 90733-0328
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.