CLIFFSIDE MALIBU OUTPATIENT SERVICES
NPI 1164826210
Clinic/Center - Rehabilitation, Substance Use Disorder in Malibu, CA

NPI Status: Active since October 17, 2014

Contact Information

29160 HEATHERCLIFF RD., STE. 100
MALIBU, CA
ZIP 90265
Phone: (424) 781-4748

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 05D2079521
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT
  • CLIA Exp. Date: 06-16-2026

About CLIFFSIDE MALIBU OUTPATIENT SERVICES

This page provides the complete NPI Profile along with additional information for Cliffside Malibu Outpatient Services, a provider established in Malibu, California operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1164826210 assigned on October 2014. The practitioner's primary taxonomy code is 261QR0405X with license number 190078AP (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's former legal business name is Cliffside Malibu Iop. The authorized official of this NPI record is Magdalen Gustilo (Director Of Payer Relations)

NPI
1164826210
Provider Legal Name
CLIFFSIDE MALIBU OUTPATIENT SERVICES
Other Organization Name
CLIFFSIDE MALIBU IOP
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
29160 HEATHERCLIFF RD., STE. 100 MALIBU, CA 90265
Location Phone
(424) 781-4748
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
10-17-2014
Last Update Date
11-14-2023
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities
License No.
190078AP
License State
CA

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)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

190815A (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MAGDALEN GUSTILO

Authorized Official Title
DIRECTOR OF PAYER RELATIONS
Authorized Official Phone
(714) 568-7667

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
05D2079521
Facility Type
Other - RESIDENTIAL TREATMENT
Certificate Effective Date
June 17, 2024
Certificate Expiration Date
June 16, 2026
Laboratory Director
WILLIAM D. STANLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cliffside Malibu Outpatient Services 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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164826210, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 6 + 2 + 1 + 2 + 2 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1164826210.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164826210, enumerated as an "organization" on October 17, 2014.

The provider is located at 29160 HEATHERCLIFF RD., STE. 100 MALIBU, CA 90265 and the phone number is (424) 781-4748.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.