TARZANA TREATMENT CENTERS, INC. (NPI# 1619106747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619106747 |
Entity Type | Organization |
Organization Name | TARZANA TREATMENT CENTERS, INC. |
Practice Address |
44443 10th St W Lancaster CA 93534-3346 |
Mailing Address |
18646 Oxnard St Tarzana CA 91356-1411 |
Practice Telephone | 8009961051 |
Mailing Telephone | 8009961051 |
Enumeration Date | 2009-07-10 |
Last Update Date | 2017-05-04 |
Authorized Official Name | DR. JAMES SORG (DIRECTOR OF INFORMATION TECHNOLOGY) |
Authorized Official Telephone | 8186543911 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
190085JN | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CMM70739F | 05 | |
CA | CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS CERTIFICATION | 190085JN | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841581022 | Tarzana Treatment Centers, Inc. | Community/Behavioral Health | 44459 & 44461 10th Street, Lancaster, CA 93534 | 2011-04-22 |
1881710887 | Tarzana Treatment Centers, Inc. | Clinic/Center | 7101 Baird Ave, Reseda, CA 91335-4150 | 2007-03-21 |
1710012455 | Tarzana Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 2101 Magnolia Ave, Long Beach, CA 90806-4521 | 2007-02-22 |
1003941683 | Tarzana Treatment Centers, Inc. | Pharmacy | 5190 Atlantic Ave, Long Beach, CA 90805-6510 | 2007-02-22 |
1427043389 | Tarzana Treatment Centers, Inc. | Pharmacy | 8330 Reseda Blvd, Northridge, CA 91324-4619 | 2005-09-16 |
1073951216 | Tarzana Treatment Centers, Inc. | Clinic/Center | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2013-06-10 |
1285930396 | Tarzana Treatment Centers, Inc. | Clinic/Center | 320 E Palmdale Blvd, Palmdale, CA 93550-4598 | 2011-02-07 |
1396076147 | Tarzana Treatment Centers, Inc. | Psychiatric Hospital | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2010-01-19 |
1639390339 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-05-01 |
1881710861 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-03-22 |
Street Address |
44443 10TH ST W |
City | LANCASTER |
State | CA |
Zip Code | 93534-3346 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265564801 | Sandy Ann Schaller | Marriage & Family Therapist | 44443 10th St W, Lancaster, CA 93534-3346 | 2007-03-09 |
1780293860 | Kayla Stanford | Social Worker | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-07-24 |
1225658107 | Jasmine Anne Perkovic | Social Worker | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-04-21 |
1881220341 | Heidi Velasquez | Community Health Worker | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-03-17 |
1437784782 | Rachel Segovia | Community Health Worker | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-03-06 |
1447881743 | Stacy Rodriguez | Counselor | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-01-27 |
1588295729 | Kayla Frances Baron | Marriage & Family Therapist | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-01-27 |
1952941262 | Wyconda Taylor | Community Health Worker | 44443 10th St W, Lancaster, CA 93534-3346 | 2020-01-14 |
1083262943 | Jessica Angulo Valenzuela | Social Worker | 44443 10th St W, Lancaster, CA 93534-3346 | 2019-09-03 |
1962057265 | Mary Christine Alexandria Storey | Counselor | 44443 10th St W, Lancaster, CA 93534-3346 | 2019-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194346098 | Lori Ann Barlow Washington | Counselor | 921 W J Street, Lancaster, CA 93534 | 2020-05-01 |
1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
1124668470 | Latonya Jean Allen | Case Manager/Care Coordinator | 44443 10th St. West, Lancaster, CA 93534 | 2020-01-14 |
1629629746 | Korinna Fite | Occupational Therapy Assistant | 43860 10th St. W., Lancaster, CA 93534 | 2019-09-20 |
1114576105 | Victor Nemr Hass Md | Anesthesiology | Embassy Surgery Center, 42135 10th Street West 325, Lancaster, CA 93534 | 2019-09-11 |
1609421007 | Jaime A Mort | Nurse Practitioner | 43112 N 15st W, Lancaster, CA 93534 | 2019-08-03 |
1013560747 | Allyson Lods | Dietitian, Registered | 43115 15th Street West, Lancaster, CA 93534 | 2019-07-22 |
1144884123 | Nicole Breanne Palman | Speech-Language Pathologist | 43860 10th St. West, 1st Floor, Lancaster, CA 93534 | 2019-04-25 |
1841761475 | Vanessa Gonzalez | Case Manager/Care Coordinator | 44226 10th St West, Lancaster, CA 93534 | 2018-12-07 |
1760969265 | Marilyn Joy Pollack | Physical Therapy Assistant | 1306 W Avenue J Ste 2, Lancaster, CA 93534 | 2018-07-26 |
Find all providers in zip 93534 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1730306499 | Antelope Valley Rehabilitation Centers | Clinic/Center | 44900 60th St W, Chp Trailer, Lancaster, CA 93536-7618 | 2007-04-20 |
1720014988 | Lancaster County Commission On Alcohol and Drug Abuse | Clinic/Center | 114 S Main St, Lancaster, SC 29720-2442 | 2006-06-22 |
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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.