Malibu California Model Drug Treatment Center, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

190729AP Issued in CA

Legal business name

MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER, INC

Practice address

3875 Kanan Rd
Agoura Hills, CA 91301-3210

Phone

(818) 707-7100

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Miss Anastasia Roma Sarkar

Title

Ceo

Phone

(818) 292-9213

Specialties & licenses 1

Addresses

Other names 1

• INSPIRE MALIBU Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Inspire Malibu2 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.

• Malibu California Model Drug Treatment Center,Inc

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Agoura Hills, CA
  • NPI 1063798965
  NPD tax ID

Practitioners 1

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

• Akikur Reza Mohammad, M.D.

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1306956271
  NPD

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1821375973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 AGOURA CT STE 103",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 KANAN RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013210",
            "telephone_number": "818-707-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30101 Agoura Ct Ste 103",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913014301",
            "country_code": "US",
            "telephone_number": "818-593-6243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 Kanan Rd",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913013238",
            "country_code": "US",
            "telephone_number": "818-707-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALIBU CALIFORNIA MODEL DRUG TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SARKAR",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_middle_name": "ROMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-292-9213",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190729AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSPIRE MALIBU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Anne Macat Fischbein, M.A.,L.M.F.T
• Heather Macbrair, RD
• Ali Fadel Mahdy, D.D.S.
• Cindy Trish Mai, PHARM. D
• Ajay Malhotra, PH.D.
• Malibu California Model Drug Treatment Center,Inc
• Malibu Home Health Inc
• Malibu Pathology
• Malibu Physicians Billing Group Inc.
• Ivan Malinarich, DC

• Substance Abuse Rehabilitation Facility in Agoura Hills, CA
• Providers in Agoura Hills, 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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.