Malibu Canyon Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MALIBU CANYON URGENT CARE LLC

Practice address

5673 Las Virgenes Rd
Calabasas, CA 91302-1069

Phone

(818) 919-4175

NPI assigned

Jan 20, 2021

Organization subpart

No

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

Authorized official

Name

Salvador Plasencia, MD

Title

Owner

Phone

(818) 919-4175

Specialties & licenses 2

Addresses

Other names 1

• Malibu Canyon Urgent Care Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22629/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1356931760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 LAS VIRGENES RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021069",
            "telephone_number": "818-919-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 LAS VIRGENES RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021069",
            "telephone_number": "818-919-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU CANYON URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "PLASENCIA",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-919-4175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malibu Canyon Urgent Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ksenia Maksimova, NP-BC
• Naysan Malakouti-Nejad
• Haleh Malek, PSYD
• Malibu Balance Day Treatment
• Malibu Canyon Rehab Corporation
• Irving Malis, M.D.
• Jonathan Malka
• Leeanne Sacks Mallel, CCC-SLP
• Ronald Mancini, MD
• Mandavichiropractic.Inc

• Urgent Care Clinic/Center in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.