Active NPI
Nextgen Treatment, Inc.
- Addiction Medicine (Family Medicine) Physician
- El Centro, CA
National Provider Identifier
1689185159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- NEXTGEN TREATMENT, INC.
- Practice address
- 2026 N Imperial Ave Ste D
El Centro, CA 92243-1607 - Phone
- (760) 693-5372
- Fax
- (760) 693-5375
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Balkcom
- Title
- Administrator
- Phone
- (888) 268-8607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | Primary |
Addresses
Primary practice location
2026 N Imperial Ave Ste D
El Centro, CA 92243-1607
Mailing address
9880 N Magnolia Ave Ste 200
Santee, CA 92071-1901
Phone (619) 916-3177
National Provider Directory
National Provider DirectoryLocations
9880 N Magnolia Ave
Ste 200
Santee, CA 92071
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Medicine Physician
- El Centro, CA
- NPI 1093036543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508716800000",
"number": "1689185159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9880 N MAGNOLIA AVE STE 200",
"city": "SANTEE",
"state": "CA",
"postal_code": "920711901",
"telephone_number": "619-916-3177",
"fax_number": "619-757-2328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2026 N IMPERIAL AVE STE D",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922431607",
"telephone_number": "760-693-5372",
"fax_number": "760-693-5375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEXTGEN TREATMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-23",
"last_updated": "2017-10-23",
"status": "A",
"authorized_official_last_name": "BALKCOM",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "888-268-8607"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.