TARZANA TREATMENT CENTERS, INC. (NPI# 1639390339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639390339 |
Entity Type | Organization |
Organization Name | TARZANA TREATMENT CENTERS, INC. |
Practice Address |
907 W Lancaster Blvd Lancaster CA 93534-2305 |
Mailing Address |
18646 Oxnard St Tarzana CA 91356 |
Practice Telephone | 6617234829 |
Mailing Telephone | 8189961051 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2017-05-04 |
Authorized Official Name | JIM SORG (DIRECTOR OF IT) |
Authorized Official Telephone | 8186543911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
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 |
1619106747 | Tarzana Treatment Centers, Inc. | Clinic/Center | 44443 10th St W, Lancaster, CA 93534-3346 | 2009-07-10 |
1881710861 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-03-22 |
Street Address |
907 W LANCASTER BLVD |
City | LANCASTER |
State | CA |
Zip Code | 93534-2305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497864268 | Willie Brent Anderson | Physician Assistant | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2006-08-29 |
1104358399 | Lashan Jackson | Community Health Worker | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2017-03-28 |
1669884706 | Marc Simon | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2014-05-23 |
1790040699 | Amber D Duplechan | Registered Nurse | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2012-07-07 |
1134494073 | Lajuana Derico | Registered Nurse | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2012-03-10 |
1538462999 | Jerome C Marcos | Nurse Practitioner | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2010-12-07 |
1083914451 | Alan Leroy Young | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2010-11-01 |
1477884179 | Raquel Cataldo | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2010-01-19 |
1891942884 | Chijioke Ugochukwu | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2008-08-21 |
1669643045 | Paul Martin Bradford | Counselor | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2008-03-13 |
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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 | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538263892 | Peter A Hurtubise | Clinic/Center | 1887 Lititz Pike, Suite 6, Lancaster, PA 17601 | 2006-09-08 |
1316584907 | Christopher Timothy Pereida | Clinic/Center | 1600 W Avenue J, Lancaster, CA 93534-2814 | 2019-12-03 |
1205860558 | Frye Chiropractic, Inc | Clinic/Center | 42283 10th St W, Suite 107, Lancaster, CA 93534-7073 | 2006-07-11 |
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1205447687 | Shawn Richard Oneill | Clinic/Center | 5979 Trotters Ln, Alta Loma, CA 91701-2644 | 2020-08-11 |
1134738032 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2821 Scott Blvd Ste 2126, Santa Clara, CA 95050-2549 | 2020-07-27 |
1437767951 | Miro Health | Clinic/Center | 260 King St Unit 1505, San Francisco, CA 94107-6415 | 2020-07-21 |
1598383895 | Alacrity Patient Services, Inc. | Clinic/Center | 1002 N Hudson Ave Apt 1, Los Angeles, CA 90038-2595 | 2020-07-13 |
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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.