90265 Medical Group Inc.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

90265 MEDICAL GROUP INC.

Practice address

23661 Pacific Coast Highway
Malibu, CA 90265

Phone

(310) 341-0188

Fax

(818) 668-3604

NPI assigned

Jul 9, 2018

Last updated

Aug 15, 2019By 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

Lisa Marie Benya, DONPI 1972515781

Title

President

Phone

(310) 341-0188

Specialties & licenses 4

Addresses

Locations

Practitioners 3

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.

• Lisa Marie Benya, D.O.

  • Internal Medicine Physician
  • Malibu, CA
  • NPI 1972515781
  Authorized official Same address or phone
• Jeannine Kemp, NP

  • Adult Health Nurse Practitioner
  • Camarillo, CA
  • NPI 1417253550
  NPD
• Craig V Smith, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Malibu, CA
  • NPI 1023049483
  NPD

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1487140935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HIGHWAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "310-456-1603",
            "fax_number": "310-456-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HIGHWAY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "310-341-0188",
            "fax_number": "818-668-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16237 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362272",
            "country_code": "US",
            "telephone_number": "818-995-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Princeton St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034701",
            "country_code": "US",
            "telephone_number": "310-341-0188",
            "fax_number": "818-668-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "90265 MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "BENYA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-341-0188",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1.Jill Furgurson, M.D., Inc.
• Ashleigh C Abramovici, AMFT
• Acadia Malibu, Inc.
• Acadia Malibu, Inc.
• Acadia Malibu, Inc. (Alo House Recovery Centers)
• Acadia Malibu, Inc.

• Hospitalist Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.