ACADIA MALIBU, INC. (NPI# 1184020398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184020398 |
Entity Type | Organization |
Organization Name | ACADIA MALIBU, INC. |
Other Organization Name | ACADIA MALIBU OUTPATIENT |
Practice Address |
28955 Pacific Coast Highway # 200 Malibu CA 90265 |
Mailing Address |
30765 Pacific Coast Highway #135 Malibu CA 90265-3643 |
Practice Telephone | 8053708048 |
Practice Fax Number | 3109193684 |
Mailing Telephone | 3105795192 |
Enumeration Date | 2014-11-16 |
Last Update Date | 2019-08-20 |
Authorized Official Name | JARED VALENTINE (CEO) |
Authorized Official Telephone | 3105795192 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Acadia Malibu Outpatient | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
1215475298 | Acadia Malibu, Inc. | Substance Abuse Rehabilitation Facility | 5918 Philip Ave, Malibu, CA 90265-3745 | 2017-02-09 |
1538538574 | Acadia Malibu, Inc. | Substance Abuse Rehabilitation Facility | 3743, 3743 1/2, and 3744 South Barrington Avenue, Los Angeles, CA 90066 | 2015-09-21 |
1205202926 | Acadia Malibu, Inc. | Clinic/Center | 28955 Pacific Coast Hwy Ste 210, Malibu, CA 90265-3930 | 2015-08-17 |
1992134084 | Acadia Malibu, Inc. | Substance Abuse Rehabilitation Facility | 5922 Philip Ave, Malibu, CA 90265-3745 | 2013-11-08 |
Street Address |
28955 PACIFIC COAST HIGHWAY # 200 |
City | MALIBU |
State | CA |
Zip Code | 90265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
Find all providers in zip 90265 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942814793 | Ola Wellness Retreat, LLC | Clinic/Center | 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 | 2020-08-31 |
1336752963 | Ola Wellness Retreat, LLC | Clinic/Center | 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 | 2020-08-24 |
1073169801 | Telehealth Innovation | Clinic/Center | 22741 Pacific Coast Hwy Ste 220, Malibu, CA 90265-5097 | 2019-08-16 |
1336614296 | Pacific Teen Treatment LLC | Clinic/Center | 29053 Pacific Coast Hwy, Malibu, CA 90265-3948 | 2018-10-08 |
1205202926 | Acadia Malibu, Inc. | Clinic/Center | 28955 Pacific Coast Hwy Ste 210, Malibu, CA 90265-3930 | 2015-08-17 |
1164826210 | Cliffside Malibu Outpatient Services | Clinic/Center | 29160 Heathercliff Rd., Ste. 100, Malibu, CA 90265 | 2014-10-17 |
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1740803212 | Sierra County Drug and Alcohol | Clinic/Center | 22 Maiden Ln, Downieville, CA 95936 | 2020-05-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.