ACADIA MALIBU, INC. (NPI# 1508390881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508390881 |
| Entity Type | Organization |
| Organization Name | ACADIA MALIBU, INC. |
| Other Organization Name | ALO HOUSE RECOVERY CENTERS |
| Practice Address |
4423 and 4423 1/2 Santa Monica Boulevard Los Angeles CA 90029 |
| Mailing Address |
30765 Pacific Coast Highway #135 Malibu CA 90265-3643 |
| Practice Telephone | 8053708048 |
| Practice Fax Number | 3109193684 |
| Mailing Telephone | 8053708048 |
| Mailing Fax Number | 3109193684 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-08-23 |
| Authorized Official Name | JARED VALENTINE (CEO) |
| Authorized Official Telephone | 3105795192 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Alo House Recovery Centers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1184020398 | Acadia Malibu, Inc. | Clinic/Center | 28955 Pacific Coast Highway # 200, Malibu, CA 90265 | 2014-11-16 |
| 1992134084 | Acadia Malibu, Inc. | Substance Abuse Rehabilitation Facility | 5922 Philip Ave, Malibu, CA 90265-3745 | 2013-11-08 |
| Street Address |
4423 AND 4423 1/2 SANTA MONICA BOULEVARD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| 1962542761 | Mariam Thiab Ali | Advanced Practice Midwife | 1233 North Vermont Avenue, Suite #2, Los Angeles, CA 90029 | 2007-02-08 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
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| 1922451574 | Chabad of California | Clinic/Center | 1750 S La Cienega Blvd, Los Angeles, CA 90035-4602 | 2016-07-19 |
| 1285095596 | Jaz Capital Investments LLC | Clinic/Center | 7966 Beverly Blvd Ste 102, Los Angeles, CA 90048-4511 | 2016-03-14 |
| 1164881280 | Silicon Beach Outpatient Center, LLC | Clinic/Center | 8939 S Sepulveda Blvd Ste 414, Los Angeles, CA 90045-3646 | 2016-02-17 |
| 1568827418 | The Haven At College | Clinic/Center | 817 W 34th St, 4th Floor, Los Angeles, CA 90089-0042 | 2015-12-19 |
| 1962867804 | Passages Beverlywood LLC | Clinic/Center | 2370 S Robertson Blvd, Los Angeles, CA 90034-2029 | 2015-12-18 |
| 1790156057 | Blvd Centers, Inc. | Clinic/Center | 1608 Sawtelle Blvd, Los Angeles, CA 90025-3114 | 2015-10-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
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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.