NPIMap

Organization Active NPI

Montage Recovery Ca LLC

Doing business as Malibu RTC II

  • Mental Illness Community Based Residential Treatment Facility
  • Malibu, CA
National Provider Identifier
1649884909
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MONTAGE RECOVERY CA LLC
Doing business as
Malibu RTC II
Practice address
2890 Kanan Dume
Malibu, CA 90265
Phone
(818) 299-3602
Fax
(805) 830-1565
NPI assigned
Sep 3, 2020
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Joann Zuniga
Title
Director
Phone
(805) 616-0719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2890 Kanan Dume
Malibu, CA 90265

Mailing address

203 S Orange Dr
Los Angeles, CA 90036-3010
Phone (805) 616-0719

Other names 1

  • Malibu RTC II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montage Recovery Ca LLC15 organizations share this tax ID, including this one
Part of
Montage Recovery Ca LLC

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1649884909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ORANGE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363010",
            "telephone_number": "805-616-0719",
            "fax_number": "805-830-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 KANAN DUME",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "818-299-3602",
            "fax_number": "805-830-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGE RECOVERY CA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2020-09-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-616-0719"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malibu RTC II",
            "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 May 26, 2022; 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.