TARZANA TREATMENT CENTERS, INC. (NPI# 1073951216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073951216 |
Entity Type | Organization |
Organization Name | TARZANA TREATMENT CENTERS, INC. |
Practice Address |
18646 Oxnard St Tarzana CA 91356-1411 |
Practice Telephone | 8186543815 |
Enumeration Date | 2013-06-10 |
Last Update Date | 2017-05-04 |
Authorized Official Name | ALBERT SENELLA (PRESIDENT/CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 8186543815 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841581022 | Tarzana Treatment Centers, Inc. | Community/Behavioral Health | 44459 & 44461 10th Street, Lancaster, CA 93534 | 2011-04-22 |
1881710887 | Tarzana Treatment Centers, Inc. | Clinic/Center | 7101 Baird Ave, Reseda, CA 91335-4150 | 2007-03-21 |
1710012455 | Tarzana Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2007-02-22 |
1003941683 | Tarzana Treatment Centers, Inc. | Pharmacy | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2007-02-22 |
1427043389 | Tarzana Treatment Centers, Inc. | Pharmacy | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2005-09-16 |
1285930396 | Tarzana Treatment Centers, Inc. | Clinic/Center | 320 E Palmdale Blvd, Palmdale, CA 93550-4598 | 2011-02-07 |
1396076147 | Tarzana Treatment Centers, Inc. | Psychiatric Hospital | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2010-01-19 |
1619106747 | Tarzana Treatment Centers, Inc. | Clinic/Center | 44443 10th St W, Lancaster, CA 93534-3346 | 2009-07-10 |
1639390339 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-05-01 |
1881710861 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-03-22 |
Street Address |
18646 OXNARD ST |
City | TARZANA |
State | CA |
Zip Code | 91356-1411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841202066 | Desiree Ginette Gonzalez Long | Marriage & Family Therapist | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2006-08-13 |
1407456155 | Amber Ruiz | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-30 |
1265032932 | Jason R Oster | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-10-30 |
1194322487 | Briana Johnson | Case Manager/Care Coordinator | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-10-08 |
1487261780 | Alison Benson | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-09-30 |
1558978056 | Erica Hernandez | Case Manager/Care Coordinator | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-09-28 |
1073124905 | Guy Martin Sherk | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-08-13 |
1538770615 | Breek Sundy | Licensed Vocational Nurse | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-08-12 |
1336759364 | David Lundberg | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1486 | 2020-08-04 |
1740890193 | Teresa Lynn Herrera | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2020-07-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548884059 | Pacific Medical Services | Clinic/Center | 5620 Wilbur Ave Ste 211, Tarzana, CA 91356-1309 | 2020-05-31 |
1588804124 | East Valley Panorama, Inc | Clinic/Center | 18345 Ventura Blvd., Suite 210, Tarzana, CA 91356-4232 | 2009-02-23 |
1942698840 | Atif Alaziz M.d. Inc | Clinic/Center | 18370 Burbank Blvd, Suite 201, Tarzana, CA 91356-2804 | 2014-12-30 |
1275891467 | Mount Sinai Surgery Group, Inc | Clinic/Center | 18425 Burbank Blvd, Suite 102, Tarzana, CA 91356-2806 | 2012-04-25 |
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1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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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.