AEGIS TREATMENT CENTERS, LLC (NPI# 1760544456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760544456 |
Entity Type | Organization |
Organization Name | AEGIS TREATMENT CENTERS, LLC |
Practice Address |
11041 Valley Blvd El Monte CA 91731-2516 |
Mailing Address |
7246 Remmet Ave Canoga Park CA 91303-1531 |
Practice Telephone | 6264424177 |
Practice Fax Number | 6264424498 |
Mailing Telephone | 8182060360 |
Mailing Fax Number | 8182060381 |
Enumeration Date | 2006-12-15 |
Last Update Date | 2015-01-27 |
Authorized Official Name | MR. ALEXANDER CHARLES DODD (PRESIDENT-CEO) |
Authorized Official Telephone | 8182060360 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | HDC70071F | 05 |
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 |
1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
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 |
Street Address |
11041 VALLEY BLVD |
City | EL MONTE |
State | CA |
Zip Code | 91731-2516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588297881 | Ashton Jones | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2020-02-15 |
1457908345 | Jaclyn Vasquez | Licensed Vocational Nurse | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2019-08-25 |
1528614567 | Annete Marquez | Licensed Vocational Nurse | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2019-08-15 |
1417512484 | Ciddy Fonteboa | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2019-05-06 |
1518456862 | Antonio Jeremy Sears | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2018-05-02 |
1528576626 | Rachel Riley | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2018-01-11 |
1215461249 | Dorene Garcia | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2017-04-17 |
1780115477 | Margarita Garcia | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2017-03-23 |
1447610498 | Pedro Gonzalez | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2016-03-03 |
1225493836 | Leticia Facundo | Counselor | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2015-12-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
Find all providers in zip 91731 |
Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043656887 | Aegis Treatment Centers, LLC | Clinic/Center | 11041 Valley Blvd, El Monte, CA 91731-2516 | 2013-05-20 |
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 |
1548819550 | Aegis Treatment Centers, LLC | Clinic/Center | 1111 W Inyokern Rd Ste B, Ridgecrest, CA 93555-2370 | 2019-09-11 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on AEGIS TREATMENT CENTERS, LLC.
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.