NPIMap

Organization Active NPI

Acadia Malibu, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Malibu, CA
National Provider Identifier
1184020398
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ACADIA MALIBU, INC.
Practice address
28955 Pacific Coast Highway # 200
Malibu, CA 90265
Phone
(805) 370-8048
Fax
(310) 919-3684
NPI assigned
Nov 16, 2014
Last updated
Aug 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Authorized official

Name
Jared ValentineNPI 1649607458
Title
Ceo
Phone
(310) 579-5192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

28955 Pacific Coast Highway # 200
Malibu, CA 90265

Mailing address

30765 Pacific Coast Highway #135
Malibu, CA 90265-3643
Phone (310) 579-5192

Other names 1

  • Acadia Malibu Outpatient Other name

National Provider Directory

National Provider Directory
Tax ID family
Acadia Malibu Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

28955 Pacific Coast Hwy
#200
Malibu, CA 90265
Phone (805) 370-8048

28955 Pacific Coast Hwy
Ste 200
Malibu, CA 90265
Phone (310) 579-5192

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566259200000",
    "number": "1184020398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HIGHWAY #135",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653643",
            "telephone_number": "310-579-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28955 PACIFIC COAST HIGHWAY # 200",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "805-370-8048",
            "fax_number": "310-919-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA MALIBU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2019-08-20",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-579-5192"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acadia Malibu Outpatient",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Acadia Malibu Outpatient",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malibu, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.