Rancho del Cielo Malibu

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RANCHO DEL CIELO MALIBU

Practice address

5591 De Butts Ter
Malibu, CA 90265-1709

Phone

(310) 589-9398

NPI assigned

Nov 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Sparky Greene

Title

Ceo

Phone

(310) 344-5558

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1619307451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6704",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902646704",
            "telephone_number": "310-589-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5591 DE BUTTS TER",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902651709",
            "telephone_number": "310-589-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO DEL CIELO MALIBU",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "SPARKY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-344-5558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychme, LLC
• Devorah Ilene Rader, PH.D.
• Rajnikant M Patel
• Ashley J Ramstead, LMFT
• Ranch Malibu Venture 1
• Asha Randall
• Gregg Allen Ratinoff
• Recovery Malibu, Inc.
• Bernard Resnick, MD
• Revitalizing Minds Project

• Clinic/Center in Malibu, CA
• Providers in Malibu, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.