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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
960001358 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 196856000 | 05 | |
| CA | CMM70956F | 05 |
| 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 |
| Street Address |
228 E AVENUE H8 ROOM 101,102,103,104,105,106, AND CAFETERIA |
| City | LANCASTER |
| State | CA |
| Zip Code | 93535-1809 |
| 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 Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| 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 | ||||
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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.