AEGIS TREATMENT CENTERS, LLC


Address: 1450 Bessie Ave Ste B, Tracy, CA 95376-3456
Phone: 8008210775

AEGIS TREATMENT CENTERS, LLC (NPI# 1083224141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083224141
Entity Type Organization
Organization Name AEGIS TREATMENT CENTERS, LLC
Practice Address 1450 Bessie Ave Ste B
Tracy
CA 95376-3456
Mailing Address 7246 Remmet Ave
Canoga Park
CA 91303-1531
Practice Telephone 8008210775
Practice Fax Number 8182060379
Mailing Telephone 8182060360
Mailing Fax Number 8182060379
Enumeration Date 2020-08-04
Last Update Date 2020-08-04
Authorized Official Name THAIPHONG THANH VO (IN-HOUSE COUNSEL)
Authorized Official Telephone 8182060360
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1861558413 Aegis Treatment Centers, LLC Clinic/Center 1133 Coloma Way, Suite # A, B and C, Roseville, CA 95661-4480 2006-12-28

Office Location

Street Address 1450 BESSIE AVE STE B
City TRACY
State CA
Zip Code 95376-3456

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932757150 James Burgess Angel Technician, Other 455 W. Eaton Ave., Tracy, CA 95376 2019-08-30
1477079655 Cassandra Sierra Specialist/Technologist 632 W 11th St Ste 119, Tracy, CA 95376 2017-08-18
1922465491 Jasmeer Kaur Uppal Registered Nurse 1411 N. Tracy Bl., Tracy, CA 95376 2016-01-28
1679957773 Amy Forester Physical Therapy Assistant 1752 Schantz Way, Tracy, CA 95376 2015-07-17
1477966265 Sarah Ojeda Marriage & Family Therapist 19 East 6th Street, Tracy, CA 95376 2014-06-09
1356761209 Lucille Nowakowski Registered Nurse 95 West 11 Th St, Tracy, CA 95376 2014-04-18
1821417718 Ricardo Echon Nurse Practitioner 644 W 12th Street, Tracy, CA 95376 2014-04-08
1508105354 Sutter Central Valley Hospitals Pharmacy 1420 N. Tracy Blvd., Tracy, CA 95376 2013-02-13
1790034056 Amy Powers Counselor 902 N Central Ave Ste 308, Tracy, CA 95376 2012-09-02
1982951554 Gurpreet Singh Dhaliwal Md Inc. Anesthesiology 1530 Bessie Ave Ste 104, Tracy, CA 95376 2012-08-13
Find all providers in zip 95376

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
1760922207 Aegis Treatment Centers, LLC Clinic/Center 1137 Hartnell Avenue, Suite E, 1141, 1145 & 1147 Hartnell Avenue, Redding, CA 96002-2113 2017-03-02
Find all providers with the same taxonomy

Competitor

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City TRACY
Zip Code 95376

Improve Information

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Dataset Information

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.

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