NPIMap

Aegis Treatment Centers, LLC

Organization Active NPI Methadone Clinic · Canoga Park, CA

NPI 1831601764 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1831601764
Entity type
Organization (NPI type 2)
Primary specialty
Methadone Clinic 261QM2800X
License
19-154 (CA)
Legal business name
AEGIS TREATMENT CENTERS, LLC
Practice address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone
(818) 206-0360
Fax
(818) 206-0383
NPI assigned
Nov 1, 2017
Organization subpart
No

Authorized official

Name
Thaiphong Thanh Vo
Title
In-House Counsel
Phone
(818) 206-0360

Corporate family (same tax ID) 24

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

Practitioners 168

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 168

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2110003Aegis Treatment Centers LLC
5225 Telegraph Rd, Ventura, CA 93003		Certificate of waiverMar 6, 2028
05D2125215Aegis Treatment Centers LLC
1147 Hartnell Ave, Redding, CA 96002		Certificate of waiverFeb 1, 2027

National Provider Directory

Tax ID family
Aegis Treatment Centers LLC (78 organizations share this tax ID)

Locations

6500 Morro Rd
Ste Cd
Atascadero, CA 93422
Phone (805) 461-5212

11776 Mariposa Rd
#101
Hesperia, CA 92345
Phone (760) 956-2462

955 W Center St
Ste 12A
Manteca, CA 95337
Phone (209) 239-9600

1349 W Main St
Merced, CA 95340
Phone (209) 725-1060

4129 State St
Ste B
Santa Barbara, CA 93110
Phone (805) 964-4795

1947 N California St
Ste Bc
Stockton, CA 95204
Phone (209) 463-0870

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 40-02 CA
Methadone Clinic 261QM2800X 15-05 CA
Methadone Clinic 261QM2800X 15-07 CA
Methadone Clinic 261QM2800X 04-02 CA
Methadone Clinic 261QM2800X 04-02MU1 CA
Methadone Clinic 261QM2800X 15-06 CA
Methadone Clinic 261QM2800X 19-156 CA
Methadone Clinic 261QM2800X 10-07 CA
Methadone Clinic 261QM2800X 36-12 CA
Methadone Clinic 261QM2800X 19-158 CA
Methadone Clinic 261QM2800X 19-154 CA Yes
Methadone Clinic 261QM2800X 39-13 CA
Methadone Clinic 261QM2800X 39-14 CA
Methadone Clinic 261QM2800X 51-05 CA
Methadone Clinic 261QM2800X 24-02 CA

Addresses

Primary practice location

7246 Remmet Ave
Canoga Park, CA 91303-1531

Mailing address

7246 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 206-0360

Other practice location 1

1343 W. Main St., Suites A & B and 1349 W. Main St.
Merced, CA 95340
Phone (209) 725-1060

Other practice location 2

955 W. Center Street, Suites 12A, 12B & 14
Manteca, CA 95337
Phone (209) 239-9600

Other practice location 3

1322 N Avalon Blvd
Wilmington, CA 90744-2639
Phone (310) 513-1300

Other practice location 4

1825 E Thelborn St
West Covina, CA 91791-1442
Phone (626) 915-3844

Other practice location 5

5225 Telegraph Rd
Ventura, CA 93003-4113
Phone (805) 765-6495

Other practice location 6

1947 N California St Ste B&c
Stockton, CA 95204-6029
Phone (209) 463-0870

Other practice location 7

1839 S El Dorado St
Stockton, CA 95206-2025
Phone (209) 463-0872

Other practice location 8

8626 Lower Sacramento Rd Ste 41
Stockton, CA 95210-1835
Phone (209) 478-2487

Other practice location 9

660 E Los Angeles Ave Ste B2
Simi Valley, CA 93065-1884
Phone (805) 522-1844

Other practice location 10

625 E Main St
Santa Paula, CA 93060-2608
Phone (805) 525-4669

Other practice location 11

115 E Fesler St
Santa Maria, CA 93454-4404
Phone (805) 922-6597

Other practice location 12

4129 State Street, Suites B, D, E & F
Santa Barbara, CA 93110
Phone (805) 964-4795

Other practice location 13

1133 Coloma Way, Suites A, B & C
Roseville, CA 95661-4480
Phone (916) 774-6647

Other practice location 14

1147 Hartnell Ave
Redding, CA 96002-2113
Phone (530) 222-7213

Other practice location 15

1050 N Garey Ave
Pomona, CA 91767-3802
Phone (909) 623-6391

Other practice location 16

1450 N Lake Ave Ste 150
Pasadena, CA 91104-2301
Phone (626) 794-1161

Other practice location 17

2055 Saviers Rd Ste A
Oxnard, CA 93033-3608
Phone (805) 483-2253

Other practice location 18

6500 Morro Rd Ste C&d
Atascadero, CA 93422-4142
Phone (805) 461-5212

Other practice location 19

1018 21st St
Bakersfield, CA 93301-4709
Phone (661) 861-9967

Other practice location 20

501 W Columbus St
Bakersfield, CA 93301-1263
Phone (661) 328-0245

Other practice location 21

590 Rio Lindo Avenue
Chico, CA 95926-1817
Phone (530) 345-3491

Other practice location 22

1019 Jefferson St
Delano, CA 93215-2238
Phone (661) 721-0463

Other practice location 23

11041 Valley Blvd
El Monte, CA 91731-2516
Phone (626) 442-4177

Other practice location 24

3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040

Other practice location 25

11776 Mariposa Road, Suites 101, 103 & 104
Hesperia, CA 92345-1622
Phone (760) 956-2462

Other practice location 26

614 W Manchester Blvd Ste 104
Inglewood, CA 90301-1683
Phone (310) 412-0879

Other practice location 27

14240 Imperial Hwy
LA Mirada, CA 90638-1940
Phone (562) 946-1587

Other practice location 28

441 S Ham Ln Ste A
Lodi, CA 95242-3525
Phone (209) 224-8940

Other practice location 29

201 D St Ste G
Marysville, CA 95901-5957
Phone (530) 742-7747

Other practice location 30

1235 McHenry Ave Ste A&b
Modesto, CA 95350-5370
Phone (209) 527-4597

Other practice location 31

125 W F St Ste 101
Ontario, CA 91762-3201
Phone (909) 986-4550

Other providers in Canoga Park, CA

All providers in Canoga Park, CA · Methadone Clinic in California

Sources for this page

Verify at the official NPI Registry.