TARZANA TREATMENT CENTERS (NPI# 1184008310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184008310 |
| Entity Type | Organization |
| Organization Name | TARZANA TREATMENT CENTERS |
| Practice Address |
5190 Atlantic Ave Long Beach CA 90805-6510 |
| Mailing Address |
5030 E 60th Pl Maywood CA 90270-3514 |
| Practice Telephone | 5624284111 |
| Mailing Telephone | 3237077101 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Authorized Official Name | VERONICA MOYA (OPERATION SUPERVISOR) |
| Authorized Official Telephone | 5624284111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
101YAO400X | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063945566 | Tarzana Treatment Centers | Health Maintenance Organization | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2017-04-11 |
| 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 | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932640596 | Social Model Recovery | Substance Abuse Rehabilitation Facility | 1368 Molino Ave Apt 2, Long Beach, CA 90804-2383 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275620 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 80 W Nicasio, San Geronimo, CA 94963 | 2020-11-05 |
| 1013518042 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1208 Via Aracena, Camarillo, CA 93010-7440 | 2020-11-05 |
| 1609477645 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 1850 Calle Alberca, Camarillo, CA 93010-1811 | 2020-11-05 |
| 1467053736 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 615 Bugeia Ln, Novato, CA 94945-1517 | 2020-11-04 |
| 1376144642 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 100 Avocado Pl, Camarillo, CA 93010-8467 | 2020-11-04 |
| 1285235556 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 7210 Johnston Rd, Pleasanton, CA 94588-9466 | 2020-11-04 |
| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| 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.