{
  "npi": "1841677408",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MAGDALEN",
    "authorized_official_last_name": "GUSTILO",
    "authorized_official_telephone_number": "7145687667",
    "authorized_official_title_or_position": "Director of Payer Relations",
    "certification_date": "2024-01-02",
    "enumeration_date": "2015-05-04",
    "last_updated": "2024-01-02",
    "organization_name": "ACCESS MALIBU, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5247 HORIZON DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MALIBU",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "902653735",
      "state": "CA",
      "telephone_number": "424-235-6258"
    },
    {
      "address_1": "18401 VON KARMAN AVE STE 500",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "IRVINE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "714-882-1186",
      "postal_code": "926128531",
      "state": "CA",
      "telephone_number": "714-828-1800"
    }
  ],
  "taxonomies": [
    {
      "code": "324500000X",
      "desc": "Substance Abuse Rehabilitation Facility",
      "license": "190070AP",
      "primary": true,
      "state": "CA",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Substance Abuse Rehabilitation Facility",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}