NPIMap

Organization Active NPI

Tarzana Treatment Centers, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1649910365
Registry record updated Jun 23, 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
12021 Wilmington Ave Ste 301
Building #18
Los Angeles, CA 90059-3019
Phone
(800) 996-1051
NPI assigned
Mar 30, 2022
Last updated
Jun 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TARZANA TREATMENT CENTERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

Primary practice location

12021 Wilmington Ave Ste 301
Building #18
Los Angeles, CA 90059-3019

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
This NPI is an additional NPI on the enrollment
Practice locations: Tarzana, CA; Woodland Hills, CA; Reseda, CA; Palmdale, CA; Los Angeles, CA; Northridge, CA; Lancaster, CA; Long Beach, CA

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 Center21 organizations share this tax ID, including this one
Part of
Tarzana Treatment Center

Other organizations with this tax ID 20

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

View all 20

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1649910365",
    "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": "818-996-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILMINGTON AVE STE 301",
            "address_2": "BUILDING #18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593019",
            "telephone_number": "800-996-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA TREATMENT CENTERS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARZANA TREATMENT CENTERS, INC.",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.