SOCAL BEHAVIORAL MEDICINE, INC.
SOCAL BEHAVIORAL MEDICINE, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1134691124, based in Redondo Beach, CA. The organization lists 4 taxonomy classifications, with Psychiatric/Mental Health Nurse Practitioner recorded as primary.
Getting there
The practice address on file is 1611 S PACIFIC COAST HWY STE 200D, Redondo Beach, CA 90277. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3971845579
- Enrollment ID
- O20190501001419
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Psychiatric/Mental Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician Addiction Medicine | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — | |
| 163WP0000X | Pain Management Registered Nurse Pain Management | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1134691124 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 1, 2019 |
| Last updated | Mar 24, 2026 |
| Status | Active |
| Practice address |
1611 S PACIFIC COAST HWY STE 200D Redondo Beach, CA 90277 (310) 698-5252 |
| Mailing address |
10650 REAGAN ST UNIT 824 Los Alamitos, CA 90720 |
| Other names |
Socal Behavioral Medicine Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 3 | 4 | 6 | 9 | 1 | 1 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 6 | 4 | 3 | 9 | 2 | 1 | 4 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.