AEGIS TREATMENT CENTERS, LLC


Address: 1839 S. El Dorado Street, Stockton, CA 95206-2025
Phone: 2094630870

AEGIS TREATMENT CENTERS, LLC (NPI# 1851444376) 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) 1851444376
Entity Type Organization
Organization Name AEGIS TREATMENT CENTERS, LLC
Other Organization Name DBA: HEALTHY CONNECTIONS, DBA:5TH STREET MEDICAL CLINIC
Practice Address 1839 S. El Dorado Street
Stockton
CA 95206-2025
Mailing Address 7246 Remmet Ave
Canoga Park
CA 91303-1531
Practice Telephone 2094630870
Practice Fax Number 2094630560
Mailing Telephone 8182060360
Mailing Fax Number 8182060360
Enumeration Date 2007-01-19
Last Update Date 2016-11-01
Authorized Official Name ALEXANDER DODD (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 8182060360
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
39-12 CA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
dba: Healthy Connections, dba:5th Street Medical Clinic Doing Business As Name - Organization

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
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
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 1839 S. EL DORADO STREET
City STOCKTON
State CA
Zip Code 95206-2025

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760001051 Family Support Home Care LLC Home Health 1872 Gordon Verner Cir, Stockton, CA 95206 2020-04-16
1003477837 Mohit Kumar Gosai Counselor 2419 Ophir Street, Stockton, CA 95206 2019-06-24
1609336882 Monica Fuentes-rodriguez Licensed Psychiatric Technician 7000 N Michael Canlis Blv, Stockton, CA 95206 2019-03-22
1013431972 Esmeralda Garcia Behavior Technician 4508 Janell Ln, Stockton, CA 95206 2017-08-01
1437672722 Margie Belinda Nudo Aquino Nurse Practitioner 3518 Cape York Ct., Stockton, CA 95206 2017-07-19
1689125163 Anka Behavioral Health, Inc. Community/Behavioral Health 2428 Warlow Ln, Stockton, CA 95206 2016-10-19
1891175592 Tracy Ford Case Manager/Care Coordinator 1839 S El Dorado Street, Stockton, CA 95206 2015-06-08
1477826212 Derrick Hardy Driver 3819 Wild Rose Ln, Stockton, CA 95206 2012-02-09
1053533117 Roman Robles Acupuncturist 10 E Martin Luther King Jr., Stockton, CA 95206 2007-05-02
1568686830 Anka Behavioral Health, Inc. Community/Behavioral Health 1117 S Grant Street, Stockton, CA 95206 2007-04-11
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164082277 Elizabeth Perez Clinic/Center 1982 S Drake Ave, Stockton, CA 95215-7449 2019-06-20
1558554915 Pacific Valley Recovery Center Incorporated Clinic/Center 820 E Main St, Stockton, CA 95202-3129 2007-08-20
1710030325 Aegis Treatment Centers, LLC Clinic/Center 1947 N California St, Suite B and C, Stockton, CA 95204-6029 2007-01-18

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1518573526 A Ka Center, LLC Clinic/Center 4715 Divine Way, La Mesa, CA 91941-6832 2020-09-16
1821602186 New Bridge Foundation, Inc. Clinic/Center 1777 Leroy Avenue, Berkeley, CA 94709-1156 2020-09-03
1942814793 Ola Wellness Retreat, LLC Clinic/Center 26926 Pacific Coast Hwy, Malibu, CA 90265-4358 2020-08-31
1336752963 Ola Wellness Retreat, LLC Clinic/Center 26924 Pacific Coast Hwy, Malibu, CA 90265-4356 2020-08-24
1003427337 Restorative Partners, Inc. Clinic/Center 3220 S Higuera St Ste 103a, San Luis Obispo, CA 93401-2023 2020-08-11
1255941597 Pathways Recovery Clinic/Center 4904 Hollycrest Way, Fair Oaks, CA 95628-5114 2020-08-02
1104435734 New Life Health Authority / Dba New Life LLC Clinic/Center 280 E Standley St, Ukiah, CA 95482-4414 2020-07-29
1043829971 House of Hope Foundation Inc Clinic/Center 227 W 9th St, San Pedro, CA 90731-3711 2020-07-27
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Competitor

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City STOCKTON
Zip Code 95206

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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