TARZANA TREATMENT CENTERS, INC. (NPI# 1881710887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881710887 |
Entity Type | Organization |
Organization Name | TARZANA TREATMENT CENTERS, INC. |
Practice Address |
7101 Baird Ave Reseda CA 91335-4150 |
Mailing Address |
18646 Oxnard St Tarzana CA 91356-1411 |
Practice Telephone | 8183425897 |
Mailing Telephone | 8189961051 |
Enumeration Date | 2007-03-21 |
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 | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE OSCAR/CERTIFICATION | 054148 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841581022 | Tarzana Treatment Centers, Inc. | Community/Behavioral Health | 44459 & 44461 10th Street, Lancaster, CA 93534 | 2011-04-22 |
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 |
1881710861 | Tarzana Treatment Centers, Inc. | Clinic/Center | 907 W Lancaster Blvd, Lancaster, CA 93534-2305 | 2007-03-22 |
Street Address |
7101 BAIRD AVE |
City | RESEDA |
State | CA |
Zip Code | 91335-4150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588271035 | Amanda Louise Fee | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-09-29 |
1144848581 | Avissa Ilkhan | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-07-13 |
1043834708 | Fernando D Estrada Ortiz | Case Manager/Care Coordinator | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-05-28 |
1760005532 | Neil Prehmus | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-05-27 |
1285269761 | Shawn Deffenbaugh | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2020-03-05 |
1073175568 | Vanessa Silva | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-07-03 |
1255899944 | Ruben Villegas | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-03-12 |
1922571728 | Dmitry Savransky | Counselor | 7101 Baird Ave, Reseda, CA 91335-4150 | 2019-01-04 |
1447729744 | Jorge Silva | Case Manager/Care Coordinator | 7101 Baird Ave, Reseda, CA 91335-4150 | 2018-11-15 |
1679057384 | Cynthia Yvette Gutierrez | Social Worker | 7101 Baird Ave, Reseda, CA 91335-4150 | 2018-09-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
Find all providers in zip 91335 |
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 |
---|---|---|---|---|
1073016226 | The Discovery House LLC | Substance Abuse Rehabilitation Facility | 6956 Bertrand Ave Ste A, Reseda, CA 91335-4708 | 2018-03-14 |
1790286425 | Dhp Heights LLC | Substance Abuse Rehabilitation Facility | 18770 Strathern St, Reseda, CA 91335-1221 | 2018-02-27 |
1548552953 | The Discovery House Residentail Treatment | Substance Abuse Rehabilitation Facility | 6957 Enfield Ave, Reseda, CA 91335-4715 | 2011-05-04 |
1366429185 | Bernie's Lil Women Center, Inc. | Substance Abuse Rehabilitation Facility | 8042 Yolanda Ave, Reseda, CA 91335-1257 | 2005-12-22 |
1720440910 | Kool Living Inc. | Substance Abuse Rehabilitation Facility | 18960 Keswick St, Reseda, CA 91335-1723 | 2016-03-25 |
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1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
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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.