AEGIS TREATMENT CENTERS, LLC


Address: 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370
Phone: 8008210775

AEGIS TREATMENT CENTERS, LLC (NPI# 1548819550) 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) 1548819550
Entity Type Organization
Organization Name AEGIS TREATMENT CENTERS, LLC
Practice Address 1111 W Inyokern Rd Ste B
Ridgecrest
CA 93555-2370
Mailing Address 7246 Remmet Ave
Canoga Park
CA 91303-1531
Practice Telephone 8008210775
Practice Fax Number 8182060379
Mailing Telephone 8182060360
Mailing Fax Number 8182060379
Enumeration Date 2019-09-11
Last Update Date 2019-09-11
Authorized Official Name THAIPHONG THANH VO (IN-HOUSE COUNSEL)
Authorized Official Telephone 8182060360
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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
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
1861558413 Aegis Treatment Centers, LLC Clinic/Center 1133 Coloma Way, Suite # A, B and C, Roseville, CA 95661-4480 2006-12-28

Office Location

Street Address 1111 W INYOKERN RD STE B
City RIDGECREST
State CA
Zip Code 93555-2370

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790321776 Patrick Joseph Mccammon Case Manager/Care Coordinator 1400 N Norma, Ste 127, Ridgecrest, CA 93555 2019-11-25
1780170704 Krista Mae Sanchez Tizon Behavior Technician 123 Grande Way, Suite B, Ridgecrest, CA 93555 2018-07-02
1245726348 Shinta Desentia Fraya Behavior Technician 123 Grande Way Ste B, Ridgecrest, CA 93555 2018-07-02
1780114397 Darci Turner Occupational Therapy Assistant 4309 W Weiman, Ridgecrest, CA 93555 2017-06-15
1700319407 Telecare Corporation Clinic/Center 1141 Chelsea Street, Ridgecrest, CA 93555 2017-04-10
1245776236 Katherine Gerow Prevention Professional 1131 Inyokern Rd, Ridgecrest, CA 93555 2017-01-13
1639552151 Max Scott Higa Social Worker 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 2015-07-01
1184044703 Ridgecrest Charter School Speech-Language Pathologist 325 S. Downs St., Ridgecrest, CA 93555 2014-04-22
1023366838 Andrew Whalley Occupational Therapist 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 2012-08-28
1831453026 Andrew S Peters Family Medicine 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 2012-07-02
Find all providers in zip 93555

Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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
1760922207 Aegis Treatment Centers, LLC Clinic/Center 1137 Hartnell Avenue, Suite E, 1141, 1145 & 1147 Hartnell Avenue, Redding, CA 96002-2113 2017-03-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City RIDGECREST
Zip Code 93555

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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