Edwards Malibu

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EDWARDS MALIBU

Practice address

23410 Civic Center Way Ste E7
Malibu, CA 90265-5917

Phone

(970) 693-0015

NPI assigned

Sep 21, 2022

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley Blair Elder

Title

Revenue Cycle Administrator

Phone

(737) 247-1223

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1093438384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23410 CIVIC CENTER WAY STE E7",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655917",
            "telephone_number": "970-693-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23410 CIVIC CENTER WAY STE E7",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655917",
            "telephone_number": "970-693-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS MALIBU",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "ELDER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "REVENUE CYCLE ADMINISTRATOR",
        "authorized_official_telephone_number": "737-247-1223"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Daniel Duchnick, BS BEHAVIORAL HEALTH
• Micah Dyer, AMFT, ALPCC
• Maria Dylan
• Danielle Nicole Eberle, B.A. PSYCHOLOGY
• Educational Medical Solutions LLC
• Kathleen Eldridge, PHD
• Elevaion Behavioral Health
• Nicole Eloff, FNP-BC
• Shabnam Ensafi, PHARM.D.
• Julia Heather Entis, LCSW

• Multi-Specialty Clinic/Center in Malibu, CA
• Providers in Malibu, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.