Access Malibu, Inc
Organization Active NPI Substance Abuse Rehabilitation Facility · Malibu, CA
NPI 1841677408 · NPPES record last updated Jan 2, 2024
Key facts
- NPI
- 1841677408
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 190070AP (CA)
- Legal business name
- ACCESS MALIBU, INC
- Practice address
- 5247 Horizon Dr
Malibu, CA 90265-3735 - Phone
- (424) 235-6258
- NPI assigned
- May 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Magdalen Gustilo
- Title
- Director of Payer Relations
- Phone
- (714) 568-7667
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2129301 | Access Malibu, Inc | Certificate of waiver | Apr 17, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190070AP | CA | Yes |
Addresses
Primary practice location
5247 Horizon Dr
Malibu, CA 90265-3735
Mailing address
18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 828-1800
Other providers in Malibu, CA
- Acadia Malibu, Inc.
- Acadia Malibu, Inc.
- Acadia Malibu, Inc.
- Acadia Malibu, Inc.
- Acadia Malibu, Inc.
- Advanced Orthopeadic & Spine Institute, Inc
- Andrew Burl Aiello
- Alexandra Decleene
- Alignment Addiction Recovery Group LLC
- Seth McRae Amitin
All providers in Malibu, CA · Substance Abuse Rehabilitation Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.