NPIMap

Organization Active NPI

Creative Care, Inc.

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1972124071
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CREATIVE CARE, INC.
Practice address
5941 Trancas Canyon Rd
Malibu, CA 90265-3118
Phone
(818) 334-5400
NPI assigned
Apr 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Mr. Morteza Khaleghi, PHD
Title
Ceo/Owner
Phone
(818) 334-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

5941 Trancas Canyon Rd
Malibu, CA 90265-3118

Mailing address

5941 Trancas Canyon Rd
Malibu, CA 90265-3118

National Provider Directory

National Provider Directory
Tax ID family
Creative Care Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1972124071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5941 TRANCAS CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 TRANCAS CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653118",
            "telephone_number": "818-334-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "KHALEGHI",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-334-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation 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 Apr 29, 2020; 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.