Active NPI
Alisa Ruby Bash, LMFT
- Marriage & Family Therapist
- Malibu, CA
National Provider Identifier
1679189633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47733
- Practice address
- 22741 Pacific Coast Hwy Ste 220
Malibu, CA 90265-5097 - Phone
- (424) 570-1259
- NPI assigned
- Sep 16, 2020
- Last updated
- Sep 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 47733 | CA | Primary |
Addresses
Primary practice location
22741 Pacific Coast Hwy Ste 220
Malibu, CA 90265-5097
Mailing address
4004 Alabama St
San Diego, CA 92104-2402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47733 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1679189633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 ALABAMA ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042402",
"fax_number": "833-964-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22741 PACIFIC COAST HWY STE 220",
"city": "MALIBU",
"state": "CA",
"postal_code": "902655097",
"telephone_number": "424-570-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASH",
"first_name": "ALISA",
"middle_name": "RUBY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-16",
"last_updated": "2020-09-16",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malibu, CA
- Bailard House, LLC
- Joshua Ballenger, D.C.
- Jacque Monaghan Barberie, LCSW
- David Bret Baron, M.D.
- Corinne Jill Barthell, MFT
- Ashley R Bateman, M.D.
- Scott French Bateman, MD
- Beachstep Investments, LLC (Avalon Malibu)
- Beaton Orthopedic Physical Therapy
- Beaton Orthopedic Physical Therapy-Malibu Rehabilitation Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.