Malibu Behavioral Health Services Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MALIBU BEHAVIORAL HEALTH SERVICES INC

Practice address

16365 Pick PL
Riverside, CA 92504-5638

Phone

(714) 887-3816

Fax

(209) 203-1061

NPI assigned

Nov 18, 2025

Last updated

May 18, 2026By 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

Angelika Panova Bohannan, LMFT

Title

Ceo

Phone

(714) 887-3816

Specialties & licenses 2

Addresses

Tax ID family

'South California Road to Recovery'2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Malibu Behavioral Health Services Inc

  dba 'South California Road to Recovery'

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
  • NPI 1225452691
  NPD tax ID

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1669333845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16365 PICK PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045638",
            "telephone_number": "714-887-3816",
            "fax_number": "209-203-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16365 PICK PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045638",
            "telephone_number": "714-887-3816",
            "fax_number": "209-203-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PANOVA BOHANNAN",
        "authorized_official_first_name": "ANGELIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-887-3816",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aysouda Malekzadeh, DO
• Reechie Maleon
• Rishi Malhotra, BS
• Leika Malia
• Malibu Behavioral Health Services Inc ('South California Road to Recovery')
• Shaishta Malik, RN
• Benedict James San Jose Malinao, FNP-C
• Armen Masis Malkhasian, MD
• Nicholas Malkus
• Crizelda Mallares-Reyes, PTA

• Marriage & Family Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.