Active NPI
Dynamic Behavioral Health
- Mental Illness Community Based Residential Treatment Facility
- Tarzana, CA
National Provider Identifier
1881317485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- DYNAMIC BEHAVIORAL HEALTH
- Doing business as
- Montare Oasis
- Practice address
- 5705 Shirley Aveneue
Tarzana, CA 91356 - Phone
- (818) 299-3602
- Fax
- (805) 830-1565
- NPI assigned
- Sep 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joann Zuniga
- Title
- Director
- Phone
- (805) 437-6515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
5705 Shirley Aveneue
Tarzana, CA 91356
Mailing address
203 S Orange Dr
Los Angeles, CA 90036-3010
Phone (818) 299-3602
Other names 1
- Montare Oasis
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2284685 | Dynamic Behavioral Health LLC | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Malibu, CA
- NPI 1972515781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1881317485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S ORANGE DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363010",
"telephone_number": "818-299-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 SHIRLEY AVENEUE",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-299-3602",
"fax_number": "805-830-1565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "ZUNIGA",
"authorized_official_first_name": "JOANN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "805-437-6515"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Montare Oasis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.