Organization Active NPI

Nextgen Treatment, Inc.

  • Addiction Medicine (Family Medicine) Physician
  • El Centro, CA
National Provider Identifier
1689185159
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
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

Updated by the provider on Oct 23, 2017

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)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.