RECOVERY MALIBU, INC.
NPI 1093182198
Substance Abuse Rehabilitation Facility in Malibu, CA
NPI Status: Active since August 25, 2015
Contact Information
20723 ROCKCROFT DR.
MALIBU, CA
ZIP 90265
Phone: (424) 388-1241
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 05D2129044
- CLIA Cert. Type: Other - FACILITY
- CLIA Exp. Date: 04-10-2027
About RECOVERY MALIBU, INC.
This page provides the complete NPI Profile along with additional information for Recovery Malibu, Inc., a provider established in Malibu, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1093182198 assigned on August 2015. The practitioner's primary taxonomy code is 324500000X with license number 190075AP (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Magdalen Gustilo (Director Of Payer Relations)
- NPI
- 1093182198
- Provider Name
- RECOVERY MALIBU, INC.
- Entity Type
- Organization
- Location Address
- 20723 ROCKCROFT DR. MALIBU, CA 90265
- Location Phone
- (424) 388-1241
- Mailing Address
- 18401 VON KARMAN AVE STE 500 IRVINE, CA 92612
- Mailing Phone
- (714) 828-1800
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-25-2015
- Last Update Date
- 01-02-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 190075AP
- License State
- CA
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | 190859AP (CA) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2129044
- Facility Type
- Other - FACILITY
- Certificate Effective Date
- April 11, 2025
- Certificate Expiration Date
- April 10, 2027
- Laboratory Director
- CRAIG V. SMITH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Recovery Malibu, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 1 | 8 | 2 | 1 | 9 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 2 | 8 | 4 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 2 + 8 + 4 + 1 + 1 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1093182198 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093182198, enumerated in the NPI registry as an "organization" on August 25, 2015
The provider is located at 20723 Rockcroft Dr. Malibu, Ca 90265 and the phone number is (424) 388-1241
This medical organization specializes in Substance Abuse Rehabilitation Facility with taxonomy code 324500000X
The provider's CLIA number is 05D2129044 for a "other - facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 25, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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