AEGIS TREATMENT CENTERS, LLC (NPI# 1992861553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992861553 |
Entity Type | Organization |
Organization Name | AEGIS TREATMENT CENTERS, LLC |
Practice Address |
660 E Los Angeles Ave Ste B2 Simi Valley CA 93065-1884 |
Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
Practice Telephone | 8055221844 |
Practice Fax Number | 8055225345 |
Mailing Telephone | 8182060360 |
Mailing Fax Number | 8182060381 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2018-11-30 |
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 | HDC70089F | 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 |
660 E LOS ANGELES AVE STE B2 |
City | SIMI VALLEY |
State | CA |
Zip Code | 93065-1884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366052656 | John Charles Laux | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-08-03 |
1568081305 | Jacqueline Villasenor | Licensed Vocational Nurse | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-04-12 |
1336773233 | Chiemeziem Ikonte | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-02-28 |
1942856646 | Gabriela Maria Diaz | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-18 |
1902452717 | Ashley Stavrinou | Licensed Vocational Nurse | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-16 |
1831745637 | Hector Alejandro Diaz | Licensed Vocational Nurse | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-16 |
1932668225 | Heidi Ida Higgins | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-03-15 |
1083194864 | Emma Pallone | Marriage & Family Therapist | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2018-08-21 |
1851807093 | Kristen Michelle Bergo | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2017-12-26 |
1811444805 | Jill Zinto | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2016-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
Find all providers in zip 93065 |
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 |
---|---|---|---|---|
1093151847 | Aegis Treatment Centers, LLC | Clinic/Center | 2650 Jones Way, Suite #10, Simi Valley, CA 93065-1203 | 2013-05-21 |
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 | SIMI VALLEY |
Zip Code | 93065 |
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.