Active NPI
Paradigm Treatment Centers Inc.
Doing business as Paradigm Malibu
- Psychiatric Residential Treatment Facility
- Malibu, CA
National Provider Identifier
1497183503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- PARADIGM TREATMENT CENTERS INC.
- Doing business as
- Paradigm Malibu
- Practice address
- 6323 Via Escondido Dr
Malibu, CA 90265-4484 - Phone
- (310) 457-6300
- Fax
- (310) 457-6318
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Cole Rucker
- Title
- Ceo
- Phone
- (310) 710-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | CA | Primary | |
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X | CA |
Addresses
Primary practice location
6323 Via Escondido Dr
Malibu, CA 90265-4484
Mailing address
6323 Via Escondido Dr
Malibu, CA 90265-4484
Phone (310) 457-6300
Other names 1
- Paradigm Malibu
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1497183503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6323 VIA ESCONDIDO DR",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654484",
"telephone_number": "310-457-6300",
"fax_number": "310-457-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6323 VIA ESCONDIDO DR",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654484",
"telephone_number": "310-457-6300",
"fax_number": "310-457-6318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADIGM TREATMENT CENTERS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "RUCKER",
"authorized_official_first_name": "COLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-710-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paradigm Malibu",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.