NPIMap

Organization Active NPI

Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Banning, CA
National Provider Identifier
1376293407
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
AEGIS TREATMENT CENTERS, LLC
Practice address
2781 W Ramsey St Ste 3&4
Banning, CA 92220-3700
Phone
(800) 821-0775
Fax
(818) 206-0381
NPI assigned
Mar 23, 2022
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Denise Winant
Title
Credentialing Supervisor
Phone
(732) 570-0268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

2781 W Ramsey St Ste 3&4
Banning, CA 92220-3700

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202
Phone (856) 439-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200125000215 CA Part B Supplier - Opioid Treatment Program (Otp) 2365732690 35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ontario, CA; Oxnard, CA; Pasadena, CA; Pomona, CA; Redding, CA; Redlands, CA; Roseville, CA; Santa Barbara, CA…

Other NPIs on the same Medicare enrollment 35

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

View all 35

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2279215Aegis Treatment Centers LLC2781 W Ramsey St, Ste 4, Banning, CA 92220Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Aegis Treatment Centers LLC78 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2781 W Ramsey St
Ste 3
Banning, CA 92220
Phone (909) 849-4171

2781 W Ramsey St
Ste 34
Banning, CA 92220
Phone (800) 821-0775

590 Rio Lindo Ave
Ste 582
Chico, CA 95926
Phone (530) 345-3491

2107 1st St
Ste 2107
Eureka, CA 95501
Phone (707) 273-6395

3707 E Shields Ave
Fresno, CA 93726
Phone (559) 229-9040

541 S Ham Ln
Ste Ab
Lodi, CA 95242
Phone (209) 224-8940

955 W Center St
Ste 12A14
Manteca, CA 95337
Phone (209) 239-9600

1235 McHenry Ave
Ste Ab
Modesto, CA 95350
Phone (209) 238-7875

125 W F St
Ste 101
Ontario, CA 91762
Phone (909) 563-7076

2055 Saviers Rd
Oxnard, CA 93033
Phone (805) 483-2253

1147 Hartnell Ave
Ste 11291133113511411145
Redding, CA 96002
Phone (530) 222-7213

1889 W Redlands Blvd
Redlands, CA 92373
Phone (909) 501-5167

625 E Main St
Santa Paula, CA 93060
Phone (805) 525-4669

1947 N California St
Ste Bc
Stockton, CA 95204
Phone (209) 463-0870

909 N Avalon Blvd
Wilmington, CA 90744
Phone (310) 513-0626

Practitioners & affiliated clinicians

Practitioners 235

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 235

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1376293407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 ROUTE 73 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542202",
            "telephone_number": "856-439-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 W RAMSEY ST STE 3&4",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203700",
            "telephone_number": "800-821-0775",
            "fax_number": "818-206-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "WINANT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "732-570-0268"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.