TARZANA TREATMENT CENTER (NPI# 1225153877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225153877 |
| Entity Type | Organization |
| Organization Name | TARZANA TREATMENT CENTER |
| Practice Address |
907 East Lancaster Blvd. 17725 East Coolwater Lancaster CA 93534 |
| Practice Telephone | 6617262630 |
| Mailing Telephone | 6617262630 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NICK DAN SPALLIERO SR. (COUNSELOR1) |
| Authorized Official Telephone | 6617262630 |
| Authorized Official Credential | CDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497134423 | Tarzana Treatment Center | Chronic Disease Hospital | 5190 Atantic Ave., Long Beach, CA 90805-4588 | 2015-05-22 |
| 1609317452 | Tarzana Treatment Center | Preferred Provider Organization | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2017-03-13 |
| 1730630591 | Tarzana Treatment Center | Counselor | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2016-10-17 |
| 1922257195 | Tarzana Treatment Center | Community/Behavioral Health | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2008-09-12 |
| 1346402484 | Tarzana Treatment Center | Case Management | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2008-06-30 |
| 1093939431 | Tarzana Treatment Center | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARZANA TREATMENT CENTER, INC. | 18646 Oxnard St, Tarzana, CA 91356-1411 |
| Street Address |
907 EAST LANCASTER BLVD. 17725 EAST COOLWATER |
| City | LANCASTER |
| State | CA |
| Zip Code | 93534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
| 1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
| 1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
| 1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
| 1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
| 1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
| 1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
| 1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
| Find all providers in zip 93534 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902746 | New Day Rehab Center | Substance Abuse Rehabilitation Facility | 1929 W Avenue L, Lancaster, CA 93534-8827 | 2020-08-13 |
| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1497376859 | Quest Recovery, Inc. | Substance Abuse Rehabilitation Facility | 3233 W Avenue K1, Lancaster, CA 93536-6620 | 2020-04-27 |
| 1003435629 | Design for Change | Substance Abuse Rehabilitation Facility | 44319 11th St E, Lancaster, CA 93535-3855 | 2020-04-14 |
| 1366083362 | New Road Recovery Services Inc. | Substance Abuse Rehabilitation Facility | 44554 Leatherwood Ave, Lancaster, CA 93534-2906 | 2019-10-01 |
| 1477113108 | New Day Rehab Center | Substance Abuse Rehabilitation Facility | 1616 W Avenue L, Lancaster, CA 93534-6247 | 2019-06-14 |
| 1467972034 | Spanish American Civic Association for Equality, Inc | Substance Abuse Rehabilitation Facility | 134 Locust St, Lancaster, PA 17602-3610 | 2017-06-23 |
| 1619403672 | Quest Recovery | Substance Abuse Rehabilitation Facility | 3239 W Avenue K1, Lancaster, CA 93536-6620 | 2017-05-11 |
| 1902330061 | Design for Living Behavior Health, Inc. | Substance Abuse Rehabilitation Facility | 42210 61st St W, Lancaster, CA 93536-3731 | 2017-04-16 |
| 1720419757 | Design for Change | Substance Abuse Rehabilitation Facility | 1066 E Avenue J, Lancaster, CA 93535-3870 | 2013-12-02 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.