TARZANA TREATMENT CENTER (NPI# 1497134423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497134423 |
| Entity Type | Organization |
| Organization Name | TARZANA TREATMENT CENTER |
| Practice Address |
5190 Atantic Ave. Long Beach CA 90805-4588 |
| Mailing Address |
5190 Atantic Ave. Long Beach CA 90805 |
| Practice Telephone | 5624284111 |
| Practice Fax Number | 5629845610 |
| Mailing Telephone | 5624284111 |
| Mailing Fax Number | 5629845610 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | MS. VERONICA MOYA (OPERATION SUPERVISOR) |
| Authorized Official Telephone | 5624284111 |
| Authorized Official Credential | CAADE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225153877 | Tarzana Treatment Center | Substance Abuse Rehabilitation Facility | 907 East Lancaster Blvd., 17725 East Coolwater, Lancaster, CA 93534 | 2007-03-20 |
| 1609317452 | Tarzana Treatment Center | Preferred Provider Organization | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2017-03-13 |
| 1730630591 | Tarzana Treatment Center | Counselor | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2016-10-17 |
| 1922257195 | Tarzana Treatment Center | Community/Behavioral Health | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2008-09-12 |
| 1346402484 | Tarzana Treatment Center | Case Management | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2008-06-30 |
| 1093939431 | Tarzana Treatment Center | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-04-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TARZANA TREATMENT CENTER, INC. | 18646 Oxnard St, Tarzana, CA 91356-1411 |
| Street Address |
5190 ATANTIC AVE. |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-4588 |
| 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 | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669848842 | Lac Usc Medical Center | Chronic Disease Hospital | 41 Cedar Walk Unit 4308, Unit 4308, Long Beach, CA 90802-7919 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255709838 | Alex Fridman Md Professional Corporation | Chronic Disease Hospital | 948 N Fairfax Ave Ste 201, West Hollywood, CA 90046-7204 | 2015-09-13 |
| 1639573363 | County of Los Angeles | Chronic Disease Hospital | 1983 Marengo St Rm B4h100, Gi/liver Division, Diagnostic and Treatment Building, Los Angeles, CA 90033-1370 | 2014-10-09 |
| 1912306861 | Reekeshrpatelmd | Chronic Disease Hospital | 720 W El Molino St, Bloomington, CA 92316-2151 | 2014-08-16 |
| 1356752554 | Emmanuel Jeffrey IIi | Chronic Disease Hospital | 25024 Prospect Ave, Apt. C, Loma Linda, CA 92354-2916 | 2014-05-11 |
| 1235561879 | University of California, Davis | Chronic Disease Hospital | 4150 V St Ste 1300, Sacramento, CA 95817-1460 | 2013-08-06 |
| 1417299504 | All To Success Inc. | Chronic Disease Hospital | 100 W Broadway Ste 100, Glendale, CA 91210-1230 | 2013-03-26 |
| 1013256601 | Walgreens | Chronic Disease Hospital | 1413 S Kenmore St, Anaheim, CA 92804-5126 | 2013-02-03 |
| 1396016457 | Daniel V Santi | Chronic Disease Hospital | 211 Belgrave Ave, San Francisco, CA 94117-3851 | 2012-01-21 |
| 1083994768 | Stanford Hospital & Clinics | Chronic Disease Hospital | 300 Pasteur Dr Rm Hco29, Stanford, CA 94305-2200 | 2011-08-25 |
| 1760780662 | Rcrmc | Chronic Disease Hospital | 130 S San Mateo St, Redlands, CA 92373-5029 | 2011-03-02 |
| 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.