NPIMap

Organization Active NPI

Tarzana Treatment Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
National Provider Identifier
1710012455
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190085BN Issued in CA
Legal business name
TARZANA TREATMENT CENTERS, INC.
Practice address
2101 Magnolia Ave
Long Beach, CA 90806-4521
Phone
(818) 996-1051
NPI assigned
Feb 22, 2007
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Jim Sorg
Title
Coo
Phone
(818) 996-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190085BN CA Primary

Addresses

Primary practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Mailing address

18646 Oxnard St
Tarzana, CA 91356-1411
Phone (818) 996-1051

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

Locations

8330 Reseda Blvd
Northridge, CA 91324
Phone (818) 534-1820

Practitioners & affiliated clinicians

Practitioners 5

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1710012455",
    "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": "818-996-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 MAGNOLIA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908064521",
            "telephone_number": "818-996-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "SORG",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "818-996-1051"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190085BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.