UC REGENTS UCLA DMPG MALIBU (NPI# 1619925740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619925740 |
| Entity Type | Organization |
| Organization Name | UC REGENTS UCLA DMPG MALIBU |
| Practice Address |
23410 Civic Center Way Suite E-8 Malibu CA 90265-5909 |
| Mailing Address |
Po Box 24dd5 Westwood Station Los Angeles CA 90024 |
| Practice Telephone | 3104561668 |
| Mailing Telephone | 3103018708 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT K OYE (VICE CHAIR OF CLINICAL SERVICES) |
| Authorized Official Telephone | 3102060644 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
Allopathic & Osteopathic Physicians | ||
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| X | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
23410 CIVIC CENTER WAY SUITE E-8 |
| City | MALIBU |
| State | CA |
| Zip Code | 90265-5909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578724373 | Dawn Anne Desylvia | Family Medicine | 23410 Civic Center Way, Suite E-8, Malibu, CA 90265-5909 | 2008-06-24 |
| 1053598300 | Bruce Rays | Psychologist | 23410 Civic Center Way, Suite E-8, Malibu, CA 90265-5909 | 2008-01-29 |
| 1588756910 | Nancy Lin Tsoi | Family Medicine | 23410 Civic Center Way, Suite E8, Malibu, CA 90265-5909 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
| 1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
| 1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
| 1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
| 1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
| 1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
| 1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
| 1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
| 1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
| Find all providers in zip 90265 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407175136 | Rick Suchiro Campa | Family Medicine | 23661 Pacific Coast Highway, Malibu, CA 90265 | 2010-05-20 |
| 1518195577 | Howard P Rosenberg | Family Medicine | 6258 Seadrift Cv, Malibu, CA 90265-3626 | 2009-06-29 |
| 1427246727 | Andrew Burl Aiello | Family Medicine | 6760 Dume Dr, Malibu, CA 90265-4223 | 2007-10-11 |
| 1790718740 | Scott French Bateman | Family Medicine | 23815 Stuart Ranch Rd Ste 300, Malibu, CA 90265-4861 | 2006-07-09 |
| 1669418182 | Sirisat Kaur Khalsa | Family Medicine | 6428 Meadows Ct., Malibu, CA 90265 | 2006-06-22 |
| 1437135340 | Jeff Harris | Family Medicine | 23805 Stuart Ranch Rd Ste 210, Malibu, CA 90265-4889 | 2005-12-22 |
| 1528057130 | Darren Lipshitz | Family Medicine | 23661 Pacific Coast Hwy, Malibu, CA 90265 | 2005-10-17 |
| 1093703282 | Laurene Susan Moise | Family Medicine | 23805 Stuart Ranch Rd, Suite 230, Malibu, CA 90265-4856 | 2005-10-11 |
| 1962401687 | David Bret Baron | Family Medicine | 22601 Pacific Coast Hwy, Suite 240, Malibu, CA 90265-5856 | 2005-07-14 |
| 1215371547 | Assaf Khasai Fesseha | Family Medicine | 23815 Stuart Ranch Rd Ste 300, Malibu, CA 90265-4861 | 2013-04-17 |
| Find all providers in MALIBU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.