PB California Rehab and Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PB CALIFORNIA REHAB AND RECOVERY, LLC

Doing business as

Promises Malibu

Practice address

20713 Rockcroft Dr
Malibu, CA 90265-5343

Phone

(310) 317-9233

NPI assigned

Dec 11, 2018

Organization subpart

No

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

Authorized official

Name

James Floyd

Title

Cfo

Phone

(847) 329-4100

Specialties & licenses 2

Addresses

Other names 1

• Promises Malibu Doing business as

Tax ID family

PB California Rehab and Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PB California Rehab and Recovery, LLC

  • Psychiatric Residential Treatment Facility
  • Malibu, CA
  • NPI 1053898445
  NPD tax ID

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1760953194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7444 LONG AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773214",
            "telephone_number": "847-329-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20713 ROCKCROFT DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655343",
            "telephone_number": "310-317-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB CALIFORNIA REHAB AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-329-4100"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promises Malibu",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bruce Alan Parker, DC
• Anjana Patel
• Pathway Diagnostics, Inc.
• Christine Danielle Patrikian, MT-BC, NMT
• PB California Rehab and Recovery, LLC
• Ashley Peak
• Brooke Danielle Pechman, LMFT
• Pepperdine University
• Pepperdine University
• Benjamin Perkins, LCSW

• Substance Abuse Rehabilitation Facility in Malibu, CA
• Providers in Malibu, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.