TARZANA TREATMENT CENTER (NPI# 1922257195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922257195 |
| Entity Type | Organization |
| Organization Name | TARZANA TREATMENT CENTER |
| Practice Address |
5190 Atlantic Ave Long Beach CA 90805-6510 |
| Practice Telephone | 5624284111 |
| Practice Fax Number | 5629845610 |
| Mailing Telephone | 5624284111 |
| Mailing Fax Number | 5629845610 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |
| Authorized Official Name | DOREEN MARIE HANNA (PEER ADVOCATE) |
| Authorized Official Telephone | 5624284111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497134423 | Tarzana Treatment Center | Chronic Disease Hospital | 5190 Atantic Ave., Long Beach, CA 90805-4588 | 2015-05-22 |
| 1225153877 | Tarzana Treatment Center | Substance Abuse Rehabilitation Facility | 907 East Lancaster Blvd., 17725 East Coolwater, Lancaster, CA 93534 | 2007-03-20 |
| 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 |
| 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 |
5190 ATLANTIC AVE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-6510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003941683 | Tarzana Treatment Centers, Inc. | Pharmacy | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2007-02-22 |
| 1831790880 | Manuel Gomez | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-11-05 |
| 1033724588 | Desiree Tessier | Counselor | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-09-11 |
| 1922622091 | Wendy Marie Casey | Community Health Worker | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-06-03 |
| 1528690237 | Kristal Gastelum | Specialist | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-02-10 |
| 1508405614 | Alexandra Savage | Social Worker | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2020-01-06 |
| 1447802988 | Andy Aguila | Counselor | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-07-15 |
| 1053973388 | Grace Tsai | Counselor | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-07-08 |
| 1952963316 | Jennifer Michell Eyo Morales | Social Worker | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-07-05 |
| 1265090294 | Ahsaki Parra-castro | Case Manager/Care Coordinator | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1174121529 | The Guidance Center | Community/Behavioral Health | 1450 Cedar Ave, Long Beach, CA 90813-1705 | 2020-10-16 |
| 1497353841 | The Guidance Center | Community/Behavioral Health | 750 Euclid Ave, Long Beach, CA 90804-5228 | 2020-10-16 |
| 1205434651 | The Guidance Center | Community/Behavioral Health | 1022 E Market St, Long Beach, CA 90805-6034 | 2020-10-16 |
| 1457959801 | The Guidance Center | Community/Behavioral Health | 1600 Atlantic Ave, Long Beach, CA 90813-2017 | 2020-10-16 |
| 1093313447 | The Guidance Center | Community/Behavioral Health | 1830 W Columbia St, Long Beach, CA 90810-2913 | 2020-10-16 |
| 1720686173 | The Guidance Center | Community/Behavioral Health | 1545 Long Beach Blvd, Long Beach, CA 90813-1923 | 2020-10-16 |
| 1235737883 | The Guidance Center | Community/Behavioral Health | 1175 E 11th St, Long Beach, CA 90813-3659 | 2020-10-15 |
| 1790383255 | The Guidance Center | Community/Behavioral Health | 3038 Delta Ave, Long Beach, CA 90810-2843 | 2020-10-15 |
| 1689272239 | The Guidance Center | Community/Behavioral Health | 1055 Freeman Ave, Long Beach, CA 90804-3804 | 2020-10-15 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
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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.