NPIMap

Organization Active NPI

Tarzana Treatment Centers, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, CA
National Provider Identifier
1346842093
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TARZANA TREATMENT CENTERS, INC.
Practice address
44421 10TH St W
Lancaster, CA 93534-3335
Phone
(800) 996-1051
Fax
(818) 996-3051
NPI assigned
Nov 9, 2020
Organization subpart
Yes
Parent organization
TARZANA TREATMENT CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Albert Senella
Title
President/ Chief Executive Officer
Phone
(818) 654-3815

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

44421 10TH St W
Lancaster, CA 93534-3335

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411
Phone (818) 654-3815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822001488 CA Part B Supplier - Clinic/Group Practice 5991897845 Receives reassigned benefits from 100 practitioners
22 other NPIs on this enrollment
Practice locations: Tarzana, CA; Woodland Hills, CA; Reseda, CA; Palmdale, CA; Los Angeles, CA; Northridge, CA; Lancaster, CA; Long Beach, CA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Tax ID family
Tarzana Treatment Center20 organizations share this tax ID, including this one
Part of
Tarzana Treatment Center

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

44421 10th St W
Lancaster, CA 93534
Phone (661) 723-4829

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tarzana Treatment Centers IncTarzana, CA, CCN 054148 Hospital Operational/Managerial Control (100%) Aug 15, 1972
Tarzana Treatment Centers IncLancaster, CA, CCN 921920 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncTarzana, CA, CCN 921948 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncPalmdale, CA, CCN 921922 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncNorthridge, CA, CCN 921921 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncReseda, CA, CCN 921947 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncLong Beach, CA, CCN A01020 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncReseda, CA, CCN A11012 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998
Tarzana Treatment Centers IncPalmdale, CA, CCN A01971 Federally qualified health center Operational/Managerial Control (100%) Aug 1, 1998

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 108

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1346842093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561411",
            "telephone_number": "818-654-3815",
            "fax_number": "818-975-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44421 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343335",
            "telephone_number": "800-996-1051",
            "fax_number": "818-996-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA TREATMENT CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARZANA TREATMENT CENTERS, INC.",
        "enumeration_date": "2020-11-09",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "SENELLA",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "PRESIDENT/ CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "818-654-3815"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.