Individual provider Active NPI

Gregg Allen Ratinoff

  • Marriage & Family Therapist
  • Malibu, CA
National Provider Identifier
1164612545
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49887 Issued in CA
Practice address
433 S. Encinal Cyn. Rd.
Camp Miller
Malibu, CA 90265-2504
Phone
(213) 258-6046
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 49887 CA Primary

Addresses

Primary practice location

433 S. Encinal Cyn. Rd.
Camp Miller
Malibu, CA 90265-2504

Mailing address

433 S. Encinal Cyn. Rd.
Camp Miller
Malibu, CA 90265-2504
Phone (213) 258-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231226001139 CA Practitioner - Marriage and Family Therapist 4385094895 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Mental HealthGroup PAC ID 7416869896, 294 clinicians

Practice addresses (Care Compare)

20151 Nordhoff St
Chatsworth, CA 91311-6215
Phone (818) 407-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince May 6, 2024 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients

Locations

20151 Nordhoff St
Chatsworth, CA 91311
Phone (818) 407-3200

10515 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 486-3837

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1164612545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S. ENCINAL CYN. RD.",
            "address_2": "CAMP MILLER",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652504",
            "telephone_number": "213-258-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S. ENCINAL CYN. RD.",
            "address_2": "CAMP MILLER",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652504",
            "telephone_number": "213-258-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATINOFF",
        "first_name": "GREGG",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

Verify at the official NPI Registry.