Organization Active NPI

Malibu Specialty Center

  • Gastroenterology Physician
  • Ventura, CA
National Provider Identifier
1710312822
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MALIBU SPECIALTY CENTER
Practice address
1746 S Victoria Ave
Ste 230
Ventura, CA 93003-6183
Phone
(805) 200-7436
Fax
(805) 642-1540
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Dr. Sabine Hazan, M.D.NPI 1669418232
Title
Owner
Phone
(805) 200-7436

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
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1746 S Victoria Ave
Ste 230
Ventura, CA 93003-6183

Mailing address

30765 Pacific Coast Hwy
Ste 131
Malibu, CA 90265-3646
Phone (805) 200-7436

National Provider Directory

National Provider Directory

Locations

1746 S Victoria Ave
Ste 230
Ventura, CA 93003
Phone (805) 200-7436

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1710312822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HWY",
            "address_2": "STE 131",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653646",
            "telephone_number": "805-200-7436",
            "fax_number": "805-642-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 S VICTORIA AVE",
            "address_2": "STE 230",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036183",
            "telephone_number": "805-200-7436",
            "fax_number": "805-642-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALIBU SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "HAZAN",
        "authorized_official_first_name": "SABINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-200-7436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.