TARZANA TREATMENT CENTERS, INC. (NPI# 1881710861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881710861 |
| 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 91356-1411 |
| Practice Telephone | 6617262630 |
| Mailing Telephone | 8189961051 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-04-07 |
| Authorized Official Name | JIM SORG (IT DIRECTOR) |
| Authorized Official Telephone | 8186543911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment 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 |
| 1639390339 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-05-01 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902746 | New Day Rehab Center | Substance Abuse Rehabilitation Facility | 1929 W Avenue L, Lancaster, CA 93534-8827 | 2020-08-13 |
| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1497376859 | Quest Recovery, Inc. | Substance Abuse Rehabilitation Facility | 3233 W Avenue K1, Lancaster, CA 93536-6620 | 2020-04-27 |
| 1003435629 | Design for Change | Substance Abuse Rehabilitation Facility | 44319 11th St E, Lancaster, CA 93535-3855 | 2020-04-14 |
| 1366083362 | New Road Recovery Services Inc. | Substance Abuse Rehabilitation Facility | 44554 Leatherwood Ave, Lancaster, CA 93534-2906 | 2019-10-01 |
| 1477113108 | New Day Rehab Center | Substance Abuse Rehabilitation Facility | 1616 W Avenue L, Lancaster, CA 93534-6247 | 2019-06-14 |
| 1467972034 | Spanish American Civic Association for Equality, Inc | Substance Abuse Rehabilitation Facility | 134 Locust St, Lancaster, PA 17602-3610 | 2017-06-23 |
| 1619403672 | Quest Recovery | Substance Abuse Rehabilitation Facility | 3239 W Avenue K1, Lancaster, CA 93536-6620 | 2017-05-11 |
| 1902330061 | Design for Living Behavior Health, Inc. | Substance Abuse Rehabilitation Facility | 42210 61st St W, Lancaster, CA 93536-3731 | 2017-04-16 |
| 1720419757 | Design for Change | Substance Abuse Rehabilitation Facility | 1066 E Avenue J, Lancaster, CA 93535-3870 | 2013-12-02 |
| Find all providers in LANCASTER | ||||
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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.