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PASSAGES VENICE
NPI 1356726913
Substance Abuse Rehabilitation Facility in Venice, CA

Active since July 24, 2015CLIA 05D2074152 · Waiver
1728 ABBOT KINNEY BLVD, #103, VENICE, CA 90291(866) 619-7013 Get Directions Write a Review

NPPES record last updated: July 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Passages Venice NPPES

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

PASSAGES VENICE (NPI 1356726913) is a healthcare organization registered as a substance abuse rehabilitation facility in Venice, California and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Marina Jo Mahoney, Coo, as its authorized official.

NPPES Registry Identity

NPI1356726913
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePASSAGES MALIBU PHP, LLC
Location Address1728 ABBOT KINNEY BLVD, #103Venice, CA 90291-4839
Mailing Address6428 Meadows CtMalibu, CA 90265-4492 · (310) 589-2880 · Fax (310) 464-6933
Phone(866) 619-7013
Organization SubpartNo
Authorized OfficialMarina Jo MahoneyCoo · (310) 589-2880
Enumeration DateJuly 24, 2015
✔ NPI 1356726913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 190835AP
Definition
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.
1728 ABBOT KINNEY BLVD, Venice, CA 90291
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Other Names 1

Doing Business AsPassages Venice

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 05D2074152

Passages Malibu · Malibu, CA
Active · expires Mar 2, 2028
CLIA Number05D2074152
Laboratory TypeResidential Rehab
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorSiri-Sat K. Khalsa MD
Laboratory Phone(310) 589-2880
Laboratory LocationPassages Malibu6428 Meadows Ct, Malibu, CA 90265
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST LA RECOVERY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1728 ABBOT KINNEY BLVD, STE. 101 & STE. 103
VENICE, CA 90291
Los Angeles County (310) 439-1799
DARA KEO
Marriage & Family Therapist
1728 ABBOT KINNEY BLVD
VENICE, CA 90291
Los Angeles County (310) 803-7125

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 Passages Malibu Php, LLC's NPI number?

The NPI number for Passages Malibu Php, LLC is 1356726913. It was assigned to this organization in the NPPES registry on July 24, 2015. The provider is doing business as Passages Venice.

Where is Passages Malibu Php, LLC located?

Passages Malibu Php, LLC is located at 1728 Abbot Kinney Blvd #103, Venice, CA 90291. The listed phone number is (866) 619-7013.

What is Passages Malibu Php, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Passages Malibu Php, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2074152) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Passages Malibu Php, LLC was last updated on July 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.