INDEPENDENCE COMMUNITY TREATMENT CLINIC


Address: 228 E Avenue H8, Room 101,102,103,104,105,106, and Cafeteria, Lancaster, CA 93535-1809
Phone: 8187761755

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI# 1508001645) 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) 1508001645
Entity Type Organization
Organization Name INDEPENDENCE COMMUNITY TREATMENT CLINIC
Practice Address 228 E Avenue H8
Room 101,102,103,104,105,106, and Cafeteria
Lancaster
CA 93535-1809
Mailing Address 19231 Victory Blvd
Suite 554
Reseda
CA 91335-6308
Practice Telephone 8187761755
Practice Fax Number 8187761657
Mailing Telephone 8187761755
Mailing Fax Number 8187761657
Enumeration Date 2008-12-03
Last Update Date 2009-12-18
Authorized Official Name ALEX BRANXBURG (PROGRAM DIRECTOR)
Authorized Official Telephone 8187761755
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
960001358 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA 196856000 05
CA CMM70956F 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689811663 Independence Community Treatment Clinic Clinic/Center 2127 E Avenue R, Room 804,805,807,809, Palmdale, CA 93550-5415 2009-01-14
1134366115 Independence Community Treatment Clinic Clinic/Center 10833 E Avenue R, Room 118, 119, 217, Littlerock, CA 93543-4106 2009-01-14
1881839926 Independence Community Treatment Clinic Clinic/Center 2270 E Avenue Q, Room 101,102,103,104,105,106, and Cafeteria, Palmdale, CA 93550-4141 2008-12-03
1417192550 Independence Community Treatment Clinic Clinic/Center 6040 W Avenue L, Room423,v3, Agi, Quartz Hill, CA 93536-4501 2008-12-03
1710122866 Independence Community Treatment Clinic Clinic/Center 38801 Clock Tower Plaza Dr E, Room Community Building,104,105,106,107, Palmdale, CA 93550-3346 2008-12-03
1881839033 Independence Community Treatment Clinic Clinic/Center 45030 3rd St E, Room 09,10,15,16,17, Lancaster, CA 93535-2503 2008-12-02
1205081593 Independence Community Treatment Clinic Clinic/Center 39055 25th St W, Room426,427,428,429,430, Palmdale, CA 93551-4164 2008-12-01
1396990685 Independence Community Treatment Clinic Clinic/Center 3200 E Avenue J8, Room 101,102,103,104,121,124, Lancaster, CA 93535-5827 2008-12-01
1508039728 Independence Community Treatment Clinic Clinic/Center 209 W Avenue J, Rooms E,g, H, Front Office, Lancaster, CA 93534-3656 2008-04-09
1699948810 Independence Community Treatment Clinic Clinic/Center 44701 32nd St W, Lancaster High School, Lancaster, CA 93536-7023 2008-04-09

Office Location

Street Address 228 E AVENUE H8
ROOM 101,102,103,104,105,106, AND CAFETERIA
City LANCASTER
State CA
Zip Code 93535-1809

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003464793 Lovernie Arenque Pilarca Technician 42952 Yaffa St, Lancaster, CA 93535 2019-08-27
1528565934 Danelly Luna Behavioral Analyst 340 E Avenue Suite 101, Lancaster, CA 93535 2018-04-11
1841791456 Mary Sowah-quaye Social Worker 1326 East Cambridge Court, Lancaster, CA 93535 2018-02-28
1497272231 Monica Arellano Behavioral Analyst 40526 176th St. E, Lancaster, CA 93535 2017-08-23
1679920227 Kristina Doronila Gaddi Licensed Vocational Nurse 1308 East Cambridge Ct, Lancaster, CA 93535 2016-05-24
1558720839 Eric Washington Student in an Organized Health Care Education/Training Program 43625 San Francisco Ave., Lancaster, CA 93535 2016-02-16
1215309935 Anita Maria Hill Registered Nurse 44545 3rd Street E., Lancaster, CA 93535 2015-10-21
1538568548 Roman Flores Marriage & Family Therapist 43520 Division St., Lancaster, CA 93535 2014-08-14
1083045496 Wanda Elaine Smith Assisted Living Facility 1046 E. Lancaster Blvd, Lancaster, CA 93535 2013-12-11
1841624046 Jennifer Lagare Hagerty Nurse Practitioner 335 East Avenue I, Lancaster, CA 93535 2013-08-25
Find all providers in zip 93535

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730630427 Antelope Valley Community Clinic Clinic/Center 45124 10th St W, Lancaster, CA 93534-2310 2016-10-18
1881839033 Independence Community Treatment Clinic Clinic/Center 45030 3rd St E, Room 09,10,15,16,17, Lancaster, CA 93535-2503 2008-12-02
1396990685 Independence Community Treatment Clinic Clinic/Center 3200 E Avenue J8, Room 101,102,103,104,121,124, Lancaster, CA 93535-5827 2008-12-01
1508039728 Independence Community Treatment Clinic Clinic/Center 209 W Avenue J, Rooms E,g, H, Front Office, Lancaster, CA 93534-3656 2008-04-09
1699948810 Independence Community Treatment Clinic Clinic/Center 44701 32nd St W, Lancaster High School, Lancaster, CA 93536-7023 2008-04-09
1992901078 West County Medical Corp Clinic/Center 500 E Avenue K, Lancaster, CA 93535-4738 2007-06-25
1427518786 Jwch Institute, Inc. Clinic/Center 45104 10th St W, Lancaster, CA 93534-2310 2019-03-22
1770711848 Independence Community Treatment Clinic Clinic/Center 43520 Division St, 202, Conference Room, Lancaster, CA 93535-4089 2009-06-29
1780821769 Independence Community Treatment Clinic Clinic/Center 44900 Division St, Room 240,820,730,731, Lancaster, CA 93535-2538 2009-01-14
1245456581 Williams Apothecary Clinic/Center 201 E Chestnut St, Lancaster, PA 17602-2705 2007-04-17
Find all providers in LANCASTER

Competitor

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City LANCASTER
Zip Code 93535

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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