NPIMap

Organization Active NPI

Paradigm Malibu Point Dume

  • Psychiatric Residential Treatment Facility
  • Malibu, CA
National Provider Identifier
1912506064
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PARADIGM MALIBU POINT DUME
Practice address
29149 Cliffside Dr
Malibu, CA 90265-4215
Phone
(310) 826-2587
Fax
(310) 457-6318
NPI assigned
Oct 20, 2020
Organization subpart
Yes
Parent organization
PARADIGM TREATMENT CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Dustin Wagner
Title
Ceo
Phone
(310) 457-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

29149 Cliffside Dr
Malibu, CA 90265-4215

Mailing address

12424 Wilshire Blvd Ste 800
Los Angeles, CA 90025-1035
Phone (310) 826-2587

National Provider Directory

National Provider Directory
Tax ID family
Paradigm San Francisco Seaview House11 organizations share this tax ID, including this one
Part of
Paradigm San Francisco Seaview House

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1912506064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251035",
            "telephone_number": "310-826-2587",
            "fax_number": "310-457-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29149 CLIFFSIDE DR",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654215",
            "telephone_number": "310-826-2587",
            "fax_number": "310-457-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM MALIBU POINT DUME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARADIGM TREATMENT CENTERS, LLC",
        "enumeration_date": "2020-10-20",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-457-6300"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "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 Oct 26, 2023; 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.