NPIMap

Organization Active NPI

Tarzana Treatment Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Palmdale, CA
National Provider Identifier
1619702099
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TARZANA TREATMENT CENTERS, INC.
Practice address
1037 E Palmdale Blvd
Palmdale, CA 93550-4745
Phone
(800) 996-1051
Fax
(818) 996-3051
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1037 E Palmdale Blvd
Palmdale, CA 93550-4745

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411
Phone (800) 996-1051

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251022001360 CA Part A Provider - Federally Qualified Health Center (FQHC) 5991897845 Practice locations: Palmdale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619702099. Details of each certification follow.

Federally qualified health center certification: CCN A01971

Legal name
TARZANA TREATMENT CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 28, 2025
Last certification
Jul 28, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1037 E Palmdale Blvd
Palmdale, CA 93550-4786

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Tarzana Treatment Center21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

Locations

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

44459 10th St W
Lancaster, CA 93534
Phone (323) 836-9899

44461 10TH St W
Lancaster, CA 93534

2101 Magnolia Ave
Long Beach, CA 90806
Phone (562) 218-1868

5178 Atlantic Ave
Long Beach, CA 90805
Phone (562) 556-7213

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kenneth Bachrach Individual Corporate DirectorClinical Director Jun 10, 1967
Antionette Olivarez Individual Corporate DirectorDirector of Nursing Nov 21, 2016
Keith Ian Star Individual Corporate DirectorDirector, Inpatient Services Jan 31, 2005
Stanley Galperson Individual Corporate DirectorDirector, Tarzana Residential Jan 8, 1996
Alesia Ping-Difiore Individual Corporate DirectorDirector, Lancaster Sep 1, 2006
Jim Sorg Individual Corporate DirectorDirector of Care Integration Aug 1, 2000
Michael Sheptenko Individual Corporate DirectorTreasurer Jul 1, 2009
Nora Monica Kirshberg Individual Corporate DirectorBoard Member Jul 1, 2019
Ronald Kurstin Individual Corporate DirectorBoard Member Jul 1, 2002
Anne Greenberg Individual Corporate DirectorBoard Member Jul 1, 2010
Silvia Cadena Individual Corporate DirectorChief Financial Officer Aug 1, 1988
Albert Senella Individual Corporate OfficerPresident/ Chief Executive Officer Aug 1, 1998 100%
Operational/Managerial ControlPresident/ Chief Executive Officer Aug 1, 1998 100%
Rudolph Omurray Individual Corporate DirectorDirector, Primary Care Mar 1, 2017
Tarzana Treatment Centers Inc Organization, Tarzana, CA Non-profit Operational/Managerial Control Aug 1, 1998 100%
Lauren Dibbs Individual Corporate DirectorDirector of Long Beach Apr 25, 2008
Jose Salazar Individual Corporate DirectorDirector, Program Development Oct 31, 2001
Andrew Kirshberg Individual Corporate DirectorBoard Member Jul 1, 1989
Richard Helfman Individual Corporate DirectorBoard Chairperson Jul 1, 2005
Patrick Ogawa Individual Corporate DirectorBoard Member Jul 1, 2010
Linda Farris-Vogel Individual Corporate DirectorBoard Member Jul 1, 2017

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 8

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

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 96

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 96

NPI Registry JSON

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

{
    "created_epoch": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1619702099",
    "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": "800-996-1051",
            "fax_number": "818-996-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E PALMDALE BLVD",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504745",
            "telephone_number": "800-996-1051",
            "fax_number": "818-996-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.