CLIFFSIDE MALIBU 3
NPI 1629461223
Substance Abuse Rehabilitation Facility in Malibu, CA

NPI Status: Active since March 06, 2015

Contact Information

20725 ROCKCROFT DR.
MALIBU, CA
ZIP 90265
Phone: (424) 781-9961
Fax: (424) 781-9961

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • CLIA Number: 05D2298611
  • CLIA Cert. Type: Other - RESIDENTIAL TREATMENT
  • CLIA Exp. Date: 02-04-2026

About CLIFFSIDE MALIBU 3

This page provides the complete NPI Profile along with additional information for Cliffside Malibu 3, a provider established in Malibu, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1629461223 assigned on March 2015. The practitioner's primary taxonomy code is 324500000X with license number 190067AP (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Kelly Stephenson (Chief Executive Officer)

NPI
1629461223
Provider Name
CLIFFSIDE MALIBU 3
Entity Type
Organization
Location Address
20725 ROCKCROFT DR. MALIBU, CA 90265
Location Phone
(424) 781-9961
Location Fax
(424) 781-9961
Mailing Address
29160 HEATHERCLIFF RD., STE. 200 MALIBU, CA 90265
Mailing Phone
(424) 217-1052
Mailing Fax
(424) 781-9961
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2015
Last Update Date
03-11-2019
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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

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
License No.
190067AP
License State
CA
Taxonomy Description
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.

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)
1324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

190836AP (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

MS. KELLY STEPHENSON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(310) 579-1004

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
05D2298611
Facility Type
Other - RESIDENTIAL TREATMENT
Certificate Effective Date
February 05, 2024
Certificate Expiration Date
February 04, 2026
Laboratory Director
WILLIAM D. STANLEY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cliffside Malibu 3 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 1629461223, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
3
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 2 → 4 4 → 8 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 8 + 6 + 2 + 2 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1629461223.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629461223, enumerated as an "organization" on March 06, 2015.

The provider is located at 20725 ROCKCROFT DR. MALIBU, CA 90265 and the phone number is (424) 781-9961.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.