PARADIGM MALIBU CAVALLERI
NPI 1124767611
Psychiatric Residential Treatment Facility in Malibu, CA

Active since June 02, 2022CLIA 05D2162744 · Waiver
6316 CAVALLERI RD, MALIBU, CA 90265(424) 666-2663 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paradigm Malibu Cavalleri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADIGM MALIBU CAVALLERI (NPI 1124767611) is a healthcare organization registered as a psychiatric residential treatment facility in Malibu, California and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Dustin Wagner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124767611
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NamePARADIGM MALIBU CAVALLERI
Location Address6316 CAVALLERI RDMalibu, CA 90265-4018
Mailing Address12424 Wilshire Blvd Ste 800Los Angeles, CA 90025-1035 · (310) 457-9008
Organization SubpartYesParent: Paradigm Treatment Centers, Llc
Authorized OfficialDustin WagnerCeo · (310) 457-9008
Enumeration DateJune 2, 2022
Last NPPES UpdateOctober 26, 2023
NPPES CertifiedOctober 26, 2023
NPI 1124767611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
6316 CAVALLERI RD, Malibu, CA 90265

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2162744

Paradigm Malibu Cavalleri · Malibu, CA
Active · expires Feb 27, 2027
CLIA Number05D2162744
Laboratory TypeResidential Treatment
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorGina K. In
Laboratory Phone(310) 457-7128
Laboratory LocationParadigm Malibu Cavalleri6316 Cavalleri Rd, Malibu, CA 90265
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paradigm Malibu Cavalleri's NPI number?

The NPI number for Paradigm Malibu Cavalleri is 1124767611. It was assigned to this organization in the NPPES registry on June 2, 2022.

Where is Paradigm Malibu Cavalleri located?

Paradigm Malibu Cavalleri is located at 6316 Cavalleri Rd, Malibu, CA 90265. The listed phone number is (424) 666-2663.

What is Paradigm Malibu Cavalleri's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Paradigm Malibu Cavalleri hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2162744) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paradigm Malibu Cavalleri was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.