NPIMap

Organization Active NPI

Lifeline Wound Care

  • Health Maintenance Organization
  • Malibu, CA
National Provider Identifier
1790097145
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
G29768 Issued in CA
Legal business name
LIFELINE WOUND CARE
Practice address
22361 Pacific Coast Hwy
Ste 441
Malibu, CA 90265
Phone
(818) 992-1801
NPI assigned
Jul 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Dr. Steven Kaye, M.D.
Title
President
Phone
(310) 871-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X G29768 CA Primary

Addresses

Primary practice location

22361 Pacific Coast Hwy
Ste 441
Malibu, CA 90265

Mailing address

20301 Ventura Blvd
Suite 115
Woodland Hills, CA 91364-2447

National Provider Directory

National Provider Directory
Tax ID family
Life Line Wound Care Inc2 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.

Locations

20301 Ventura Blvd
Ste 115
Woodland Hills, CA 91364
Phone (818) 992-1801

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1790097145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20301 VENTURA BLVD",
            "address_2": "SUITE 115",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22361 PACIFIC COAST HWY",
            "address_2": "STE 441",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "90265",
            "telephone_number": "818-992-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "KAYE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-871-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "G29768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2010; 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.