Estus Medical Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

ESTUS MEDICAL INC

Practice address

6981 Birdview Ave
Malibu, CA 90265-4105

Phone

(310) 922-3858

NPI assigned

Oct 20, 2016

Last updated

Oct 20, 2016By 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

Rick Campa

Title

President

Phone

(310) 922-3858

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1740731009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6981 BIRDVIEW AVE",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654105",
            "telephone_number": "310-922-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 BIRDVIEW AVE",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654105",
            "telephone_number": "310-922-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTUS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "CAMPA",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-922-3858"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "127923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Eldridge, PHD
• Elevaion Behavioral Health
• Nicole Eloff, FNP-BC
• Shabnam Ensafi, PHARM.D.
• Julia Heather Entis, LCSW
• Janet Ettenger, CD
• Monique Kenien Fah, O.D.
• Chanel Christine Ferrante
• Adrian Finkelstein, M.D.
• Katherine Jane Frame, L.AC

• Addiction Medicine (Family Medicine) Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.