AEGIS TREATMENT CENTERS, LLC (NPI# 1659436095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659436095 |
Entity Type | Organization |
Organization Name | AEGIS TREATMENT CENTERS, LLC |
Practice Address |
1235 Mchenry Ave Suite A & B Modesto CA 95350-5370 |
Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
Practice Telephone | 2095274597 |
Practice Fax Number | 2095274599 |
Mailing Telephone | 8182060360 |
Mailing Fax Number | 8182060381 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2015-01-27 |
Authorized Official Name | MR. ALEXANDER CHARLES DODD (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 | HDC70076F | 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 |
1316003601 | Aegis Treatment Centers, LLC | Clinic/Center | 2321 Pontius Ave, Los Angeles, CA 90064-1809 | 2006-12-29 |
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 |
Street Address |
1235 MCHENRY AVE SUITE A & B |
City | MODESTO |
State | CA |
Zip Code | 95350-5370 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245850304 | Jessica Dawn French | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2020-04-19 |
1407475387 | Evangelyn Estrada | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2020-04-10 |
1306483045 | Trinity Rose Teicheira | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-12-02 |
1073154324 | Stephen Powell | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-10-07 |
1841831070 | Dionissya Gomez Punla | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-09-29 |
1558919829 | Mary Ann Yadollahi | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-08-29 |
1215583026 | Magdali M Moreno | Licensed Vocational Nurse | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-08-16 |
1184187072 | Anthony Jason Ramirez | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-04-09 |
1184183477 | Angilene Nichole Forrest | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-03-15 |
1922565266 | Sylvia Perez | Counselor | 1235 Mchenry Ave, Modesto, CA 95350-5370 | 2019-02-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
Find all providers in zip 95350 |
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 |
---|---|---|---|---|
1659717494 | Aegis Treatment Centers, LLC | Clinic/Center | 103 Modesto Ave, Modesto, CA 95354-0414 | 2013-05-20 |
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 |
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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.