Addiction Research and Treatment, Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Lynwood, CA
NPI 1801934005 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1801934005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- ADDICTION RESEARCH AND TREATMENT, INC
- Practice address
- 11682 Atlantic Ave
Lynwood, CA 90262-3832 - Phone
- (310) 537-5883
- Fax
- (310) 537-5587
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Other NPIs on the same Medicare enrollment 17
Corporate family (same tax ID) 19
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1029266 | Addiction Research & Treatment Inc | Certificate of waiver | Aug 11, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200313001209 | CA | Part B Supplier - Opioid Treatment Program (Otp) | 9931244753 |
17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fresno, CA; Visalia, CA; San Francisco, CA; Richmond, CA; Porterville, CA; Oakland, CA; Menlo Park, CA; Lynwood, CA… |
National Provider Directory
- Tax ID family
- Addiction Research and Treatment Inc
Locations
11315 Atlantic Ave
Lynwood, CA 90262
Phone (310) 537-5833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 19.147 | CA | |
| Methadone Clinic | 261QM2800X | 19.147 | CA | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes |
Addresses
Primary practice location
11682 Atlantic Ave
Lynwood, CA 90262-3832
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300
Other names
- BAART Programs Lynwood
Other providers in Lynwood, CA
- Christine Abgaryan
- Abio Group Inc
- Jilbert Abnoosian
- Nellie M Acevedo
- Mayra Aceves
- Adegbenga a Adetola M D Inc
- Adegbenga A Adetola
- Ag Lynwood, LLC
- Arlet Agazaryan
- Brisa Aidee Aguilar
All providers in Lynwood, CA · Substance Use Disorder Rehabilitation Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.