Aegis Treatment Centers, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

19-154 Issued in 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

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thaiphong Thanh Vo

Title

In-House Counsel

Phone

(818) 206-0360

Specialties & licenses 15

Addresses

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

CLIA laboratory certificates

Tax ID family

Aegis Treatment Centers LLC78 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Aegis Treatment Centers

  • Health Maintenance Organization
  • Santa Barbara, CA
  • NPI 1811384498
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Oxnard, CA
  • NPI 1740626597
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Crescent City, CA
  • NPI 1750192779
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • El Monte, CA
  • NPI 1760544456
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Atascadero, CA
  • NPI 1760828594
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Redding, CA
  • NPI 1760922207
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Bakersfield, CA
  • NPI 1780746479
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Bakersfield, CA
  • NPI 1790121531
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Community/Behavioral Health Agency
  • Merced, CA
  • NPI 1801270277
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Roseville, CA
  • NPI 1821434671
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Turlock, CA
  • NPI 1821722265
  NPD tax ID
• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Merced, CA
  • NPI 1831535673
  NPD tax ID

Locations

Practitioners 266

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.

• Valerie Abbott

  • Addiction (Substance Use Disorder) Counselor
  • Manteca, CA
  • NPI 1912444399
  NPD (past)
• Abigail Elizabeth Alexander

  • Social Worker
  • Redding, CA
  • NPI 1073110094
  NPD (past)
• Angeles Alfaro, LVN

  • Licensed Vocational Nurse
  • Lodi, CA
  • NPI 1821560129
  NPD (past)
• Lexi Alikpala

  • Addiction (Substance Use Disorder) Counselor
  • Oxnard, CA
  • NPI 1417500224
  NPD (past)
• Julian Alvarez

  • Clinical Social Worker
  • Sacramento, CA
  • NPI 1326541202
  NPD (past)
• Julianna Guerrero Andrade

  • Rehabilitation Practitioner
  • Oakland, CA
  • NPI 1821694647
  NPD (past)
• Crystal Ochoa August

  • Licensed Vocational Nurse
  • Lodi, CA
  • NPI 1255808507
  NPD (past)
• Tonya Marie Bagley, A. A., B.A., CAS

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
  • NPI 1942425400
  NPD (past)
• Kevin Ballard

  • Addiction (Substance Use Disorder) Counselor
  • Redding, CA
  • NPI 1851877070
  NPD (past)
• Ashadieeyah Latifa Karima Barakat

  • Addiction (Substance Use Disorder) Counselor
  • Lodi, CA
  • NPI 1285103200
  NPD (past)
• Elizabeth Bedolla

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
  • NPI 1376370924
  NPD (past)
• Jasmine Christian Bell

  • Addiction (Substance Use Disorder) Counselor
  • Modesto, CA
  • NPI 1417836909
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1831601764",
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        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7246 REMMET AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031531",
            "telephone_number": "818-206-0360",
            "fax_number": "818-206-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7246 REMMET AVE",
            "city": "CANOGA PARK",
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            "postal_code": "913031531",
            "telephone_number": "818-206-0360",
            "fax_number": "818-206-0383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1343 W. Main St., Suites A & B and 1349 W. Main St.",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "95340",
            "country_code": "US",
            "telephone_number": "209-725-1060",
            "fax_number": "209-725-1064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 W. Center Street, Suites 12A, 12B & 14",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "95337",
            "country_code": "US",
            "telephone_number": "209-239-9600",
            "fax_number": "209-239-2244",
            "country_name": "United States",
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        {
            "address_1": "1322 N Avalon Blvd",
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            "city": "Wilmington",
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            "postal_code": "907442639",
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            "telephone_number": "310-513-1300",
            "fax_number": "310-513-1311",
            "country_name": "United States",
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        },
        {
            "address_1": "1825 E Thelborn St",
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            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911442",
            "country_code": "US",
            "telephone_number": "626-915-3844",
            "fax_number": "626-915-3845",
            "country_name": "United States",
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        {
            "address_1": "5225 Telegraph Rd",
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            "city": "Ventura",
            "state": "CA",
            "postal_code": "930034113",
            "country_code": "US",
            "telephone_number": "805-765-6495",
            "fax_number": "805-765-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1947 N California St Ste B&c",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046029",
            "country_code": "US",
            "telephone_number": "209-463-0870",
            "fax_number": "209-463-1803",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1839 S El Dorado St",
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            "city": "Stockton",
            "state": "CA",
            "postal_code": "952062025",
            "country_code": "US",
            "telephone_number": "209-463-0872",
            "fax_number": "209-466-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8626 Lower Sacramento Rd Ste 41",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952101835",
            "country_code": "US",
            "telephone_number": "209-478-2487",
            "fax_number": "209-478-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 E Los Angeles Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651884",
            "country_code": "US",
            "telephone_number": "805-522-1844",
            "fax_number": "805-522-5345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 E Main St",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930602608",
            "country_code": "US",
            "telephone_number": "805-525-4669",
            "fax_number": "818-398-8567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 E Fesler St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544404",
            "country_code": "US",
            "telephone_number": "805-922-6597",
            "fax_number": "805-922-5978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4129 State Street, Suites B, D, E & F",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "93110",
            "country_code": "US",
            "telephone_number": "805-964-4795",
            "fax_number": "805-683-3027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 Coloma Way, Suites A, B & C",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614480",
            "country_code": "US",
            "telephone_number": "916-774-6647",
            "fax_number": "916-774-6456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 Hartnell Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960022113",
            "country_code": "US",
            "telephone_number": "530-222-7213",
            "fax_number": "530-222-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 N Garey Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673802",
            "country_code": "US",
            "telephone_number": "909-623-6391",
            "fax_number": "818-398-8556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 N Lake Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911042301",
            "country_code": "US",
            "telephone_number": "626-794-1161",
            "fax_number": "626-794-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2055 Saviers Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930333608",
            "country_code": "US",
            "telephone_number": "805-483-2253",
            "fax_number": "805-483-2255",
            "country_name": "United States",
            "address_type": "DOM"
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            "address_1": "6500 Morro Rd Ste C&d",
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            "state": "CA",
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            "country_code": "US",
            "telephone_number": "805-461-5212",
            "fax_number": "805-461-5873",
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        },
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            "address_1": "1018 21st St",
            "address_purpose": "LOCATION",
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            "state": "CA",
            "postal_code": "933014709",
            "country_code": "US",
            "telephone_number": "661-861-9967",
            "fax_number": "661-861-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W Columbus St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933011263",
            "country_code": "US",
            "telephone_number": "661-328-0245",
            "fax_number": "661-631-0876",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "590 Rio Lindo Avenue",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959261817",
            "country_code": "US",
            "telephone_number": "530-345-3491",
            "fax_number": "530-345-0261",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "1019 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932152238",
            "country_code": "US",
            "telephone_number": "661-721-0463",
            "fax_number": "661-721-0482",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "11041 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917312516",
            "country_code": "US",
            "telephone_number": "626-442-4177",
            "fax_number": "626-442-4498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 E Shields Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937267029",
            "country_code": "US",
            "telephone_number": "559-229-9040",
            "fax_number": "559-229-9060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11776 Mariposa Road, Suites 101, 103 & 104",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923451622",
            "country_code": "US",
            "telephone_number": "760-956-2462",
            "fax_number": "760-956-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 W Manchester Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903011683",
            "country_code": "US",
            "telephone_number": "310-412-0879",
            "fax_number": "310-412-3365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14240 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906381940",
            "country_code": "US",
            "telephone_number": "562-946-1587",
            "fax_number": "562-946-5740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "441 S Ham Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952423525",
            "country_code": "US",
            "telephone_number": "209-224-8940",
            "fax_number": "209-224-5076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 D St Ste G",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959015957",
            "country_code": "US",
            "telephone_number": "530-742-7747",
            "fax_number": "530-742-7642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1235 McHenry Ave Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953505370",
            "country_code": "US",
            "telephone_number": "209-527-4597",
            "fax_number": "818-398-8561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 W F St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917623201",
            "country_code": "US",
            "telephone_number": "909-986-4550",
            "fax_number": "909-986-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AEGIS TREATMENT CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THAIPHONG",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "IN-HOUSE COUNSEL",
        "authorized_official_telephone_number": "818-206-0360"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "40-02",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "15-05",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "15-07",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "04-02",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "04-02MU1",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "15-06",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "19-156",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "10-07",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "36-12",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "19-158",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "19-154",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "39-13",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "39-14",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "51-05",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "24-02",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.