Active NPI
Malibu Specialty Center
- Gastroenterology Physician
- Ventura, CA
National Provider Identifier
1710312822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sabine Hazan, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 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 DirectoryLocations
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.
-
- Gastroenterology Physician
- Ventura, CA
- NPI 1669418232
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.