NPIMap

Organization Active NPI

Acadia Malibu, Inc.

  • Substance Abuse Rehabilitation Facility
  • Malibu, CA
National Provider Identifier
1992134084
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190786AP Issued in CA
Legal business name
ACADIA MALIBU, INC.
Practice address
5922 Philip Ave
Malibu, CA 90265-3745
Phone
(310) 579-5192
NPI assigned
Nov 8, 2013
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Jared ValentineNPI 1649607458
Title
Ceo
Phone
(310) 579-5192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190786AP CA Primary

Addresses

Primary practice location

5922 Philip Ave
Malibu, CA 90265-3745

Mailing address

30765 Pacific Coast Hwy
#135
Malibu, CA 90265-3646

National Provider Directory

National Provider Directory
Tax ID family
Acadia Malibu Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1992134084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30765 PACIFIC COAST HWY",
            "address_2": "#135",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 PHILIP AVE",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902653745",
            "telephone_number": "310-579-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIA MALIBU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-579-5192"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190786AP",
            "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 Sep 19, 2014; 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.