RANCHO DEL CIELO MALIBU NPI 1619307451

NPI Information

  • NPI: 1619307451
  • Provider Name: RANCHO DEL CIELO MALIBU
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 5591 DE BUTTS TER
    MALIBU, CA
    ZIP 90265
  • Phone: (310) 589-9398

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NPI Details

RANCHO DEL CIELO MALIBU is a clinic center in Malibu, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RANCHO DEL CIELO MALIBU NPI is 1619307451. The provider is registered as an organization entity type.

The provider's business location address is:

5591 DE BUTTS TER
MALIBU, CA
ZIP 90265-709
Phone: (310) 589-9398

The provider's authorized official is Sparky Greene .
The authorized official title is Ceo and has the following contact phone number (310) 344-5558.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 11/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthNo
2261QC1800XClinic/CenterCorporate HealthNo
3261QH0100XClinic/CenterHealth ServiceNo
4261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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