AEGIS TREATMENT CENTERS, LLC (NPI# 1316003601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316003601 |
Entity Type | Organization |
Organization Name | AEGIS TREATMENT CENTERS, LLC |
Practice Address |
2321 Pontius Ave Los Angeles CA 90064-1809 |
Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
Practice Telephone | 3104788066 |
Practice Fax Number | 3104788821 |
Mailing Telephone | 8182060360 |
Mailing Fax Number | 8182060381 |
Enumeration Date | 2006-12-29 |
Last Update Date | 2014-01-27 |
Authorized Official Name | MR. EHUD BARKAI (PRESIDENT-CEO) |
Authorized Official Telephone | 8182060360 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | HDC70083F | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083224141 | Aegis Treatment Centers, LLC | Clinic/Center | 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 | 2020-08-04 |
1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
1760922207 | Aegis Treatment Centers, LLC | Clinic/Center | 1137 Hartnell Avenue, Suite E, 1141, 1145 & 1147 Hartnell Avenue, Redding, CA 96002-2113 | 2017-03-02 |
1649669979 | Aegis Treatment Centers, LLC | Clinic/Center | 541 S Ham Ln Ste A&b, Lodi, CA 95242-3530 | 2015-01-09 |
1134565740 | Aegis Treatment Centers, LLC | Clinic/Center | 955 W. Center Street, Suites 12a, 12b & 14, Manteca, CA 95337 | 2013-05-22 |
1851444376 | Aegis Treatment Centers, LLC | Clinic/Center | 1839 S. El Dorado Street, Stockton, CA 95206-2025 | 2007-01-19 |
1972669257 | Aegis Treatment Centers, LLC | Clinic/Center | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2006-12-29 |
1104982495 | Aegis Treatment Centers, LLC | Clinic/Center | 1343 W Main St Ste A&b, 1349 W. Main Street, Merced, CA 95340-4438 | 2006-12-29 |
1861558413 | Aegis Treatment Centers, LLC | Clinic/Center | 1133 Coloma Way, Suite # A, B and C, Roseville, CA 95661-4480 | 2006-12-28 |
Street Address |
2321 PONTIUS AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90064-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285783035 | Anthony Ray Ruiz | Counselor | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-10 |
1821147679 | Daisy Cheeseman | Counselor | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-10 |
1710036249 | Gene Lichtenstein | Counselor | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-10 |
1629125059 | Nationwide Medical Group, Inc | Clinic/Center | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-05 |
1851448278 | James Robert Mckinney | Counselor | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2007-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
Find all providers in zip 90064 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881015121 | Hollywood Medical Rehabilitation Care, Inc. | Clinic/Center | 5232 W. Sunset Blvd., Los Angeles, CA 90027 | 2014-01-03 |
1497885081 | Wilshire Treatment Center, Inc | Clinic/Center | 11901 Santa Monica Blvd Ste 204, Los Angeles, CA 90025-2783 | 2007-03-06 |
1700896511 | Crc Health Jeff Grand Treatment Center | Clinic/Center | 3130 S Hill St, Los Angeles, CA 90007 | 2006-08-08 |
1265863419 | Downtown Medical & Mental Health Services Inc | Clinic/Center | 540 S San Pedro St, Los Angeles, CA 90013-2102 | 2013-12-12 |
1194155978 | Hill Street Health Services | Clinic/Center | 3130 S Hill St, Los Angeles, CA 90007-3817 | 2013-11-15 |
1194022707 | Hill Street Community Wellness Center | Clinic/Center | 3130 S Hill St, Los Angeles, CA 90007-3817 | 2011-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083224141 | Aegis Treatment Centers, LLC | Clinic/Center | 1450 Bessie Ave Ste B, Tracy, CA 95376-3456 | 2020-08-04 |
1093323222 | City and County of San Francisco | Clinic/Center | 1001 Potrero Ave # Ward86, San Francisco, CA 94110-3518 | 2020-07-14 |
1548899644 | Bella Team Ltd. | Clinic/Center | 2618 San Miguel Dr Ste 1288, Newport Beach, CA 92660-5437 | 2020-04-02 |
1386280899 | Western Pacific Med-corp | Clinic/Center | 26921 Crown Valley Pkwy Ste 200, Mission Viejo, CA 92691-6501 | 2019-11-19 |
1518501527 | Harmonic Solutions LLC | Clinic/Center | 1776 Ygnacio Valley Rd Ste 206, Walnut Creek, CA 94598-3125 | 2019-11-01 |
1326698887 | Aegis Treatment Centers, LLC | Clinic/Center | 2107, 2109 & 2113 1st St, Eureka, CA 95501-0840 | 2019-09-17 |
1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
1306326699 | Kristen Andree Rickard | Clinic/Center | 1153 Paradise Trail Rd, Chula Vista, CA 91915-2502 | 2018-08-16 |
1083141600 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1145 Market St Fl 10, San Francisco, CA 94103-1566 | 2017-05-13 |
1013448547 | Coachella Valley Treatment Center | Clinic/Center | 81709 Dr Carreon Blvd Ste B1, Indio, CA 92201-5510 | 2017-03-26 |
Find all providers with the same taxonomy |
City | LOS ANGELES |
Zip Code | 90064 |
Please comment or provide details below to improve the information on AEGIS TREATMENT CENTERS, LLC.
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.