AEGIS TREATMENT CENTERS, LLC (NPI# 1114083771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114083771 |
| Entity Type | Organization |
| Organization Name | AEGIS TREATMENT CENTERS, LLC |
| Practice Address |
8626 Lower Sacramento Rd Ste 41 Suite 41 Stockton CA 95210-1835 |
| Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
| Practice Telephone | 2094782487 |
| Practice Fax Number | 2094781476 |
| Mailing Telephone | 8182060360 |
| Mailing Fax Number | 8182060381 |
| Enumeration Date | 2006-12-28 |
| 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 | HDC70090F | 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 |
8626 LOWER SACRAMENTO RD STE 41 SUITE 41 |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952326035 | Linda Tran | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2006-07-12 |
| 1548876212 | Zulliana Caballero | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2020-09-18 |
| 1104458280 | Ken Morales Alcantara | Registered Nurse | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2020-02-06 |
| 1457918302 | Zulema Carrillo | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2019-05-28 |
| 1609432160 | Tyler David Ham | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2019-05-10 |
| 1588122014 | Oluwatoniloba Fakunle | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2019-03-04 |
| 1588131734 | Francisca Marquez | Licensed Vocational Nurse | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2018-10-25 |
| 1346728946 | Frances Marie Morrison | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2018-08-06 |
| 1346727385 | Lissette Espinoza | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2018-07-23 |
| 1336654672 | Down Vang | Counselor | 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835 | 2017-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| 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 |
|---|---|---|---|---|
| 1275695033 | Julian Perez II | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-15 |
| 1851453500 | Medmark Treatment Centers- Stockton, Inc | Clinic/Center | 1111 N El Dorado Street, Stockton, CA 95202-1305 | 2006-12-15 |
| 1902242753 | Aegis Treatment Centers, LLC | Clinic/Center | 8626 Lower Sacramento Rd, Suite #41, Stockton, CA 95210-1835 | 2013-05-21 |
| 1326191677 | Pao Choua Vang | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2007-01-19 |
| 1750447199 | Deng Vue | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-29 |
| 1942363585 | Ginned Williams | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-18 |
| 1285797514 | Da Her | Clinic/Center | 1111 N El Dorado St, Stockton, CA 95202-1305 | 2006-12-18 |
| 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.