Ranch Malibu Venture 1

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190649AP Issued in CA

Legal business name

RANCH MALIBU VENTURE 1

Doing business as

Milestones Ranch Malibu

Practice address

327 Latigo Canyon Rd
Malibu, CA 90265-2708

Phone

(818) 879-9110

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Carolyn Hamilton

Title

Billing Manager

Phone

(818) 667-6550

Specialties & licenses 1

Addresses

Other names 1

• MILESTONES RANCH MALIBU Doing business as

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1609271394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 S. LATIGO CYN ROAD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "818-879-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 LATIGO CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902652708",
            "telephone_number": "818-879-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCH MALIBU VENTURE 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "818-667-6550"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190649AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILESTONES RANCH MALIBU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Caring of Malibu Medical (Primary Caring)
• Psychme, LLC (Paradigm Malibu)
• Devorah Ilene Rader, PH.D.
• Rajnikant M Patel (dume plaza pharmacy)
• Ashley J Ramstead, LMFT
• Rancho del Cielo Malibu
• Asha Randall
• Gregg Allen Ratinoff
• Recovery Malibu, Inc.
• Bernard Resnick, MD

• Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.