Organization Active NPI

Primary Caring of Malibu Medical

Doing business as Primary Caring

  • Family Medicine Physician
  • Malibu, CA
National Provider Identifier
1679681704
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G67527 Issued in CA
Legal business name
PRIMARY CARING OF MALIBU MEDICAL
Doing business as
Primary Caring
Practice address
22601 Pacific Coast Hwy Ste 240
Malibu, CA 90265-5823
Phone
(310) 456-6505
Fax
(310) 456-8105
NPI assigned
Aug 28, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. David Bret Baron, MDNPI 1962401687
Title
Owner/President
Phone
(310) 456-6505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G67527 CA Primary

Addresses

Primary practice location

22601 Pacific Coast Hwy Ste 240
Malibu, CA 90265-5823

Mailing address

22601 Pacific Coast Hwy Ste 240
Malibu, CA 90265-5823
Phone (310) 456-6505

Other names 1

  • Primary Caring Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000297 CA Part B Supplier - Clinic/Group Practice 5597742379 Receives reassigned benefits from 1 practitioner
Practice locations: Malibu, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1030517Primary Caring of Malibu22601 Pacific Coast Hwy Suite 240, Malibu, CA 90265Certificate of waiverSep 30, 2027

National Provider Directory

National Provider Directory

Locations

22601 Pacific Coast Hwy
Ste 240
Malibu, CA 90265
Phone (310) 456-6505

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25592/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1679681704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22601 PACIFIC COAST HWY STE 240",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655823",
            "telephone_number": "310-456-6505",
            "fax_number": "310-456-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22601 PACIFIC COAST HWY STE 240",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655823",
            "telephone_number": "310-456-6505",
            "fax_number": "310-456-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARING OF MALIBU MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRET",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-456-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G67527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Caring",
            "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 Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.