AEGIS TREATMENT CENTERS, LLC
NPI 1083224141
Clinic/Center - Methadone in Tracy, CA
NPI Status: Active since August 04, 2020
Contact Information
1450 BESSIE AVE STE B
TRACY, CA
ZIP 95376
Phone: (800) 821-0775
Fax: (818) 206-0379
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 05D2125215
- CLIA Cert. Type: Other - NARCOTIC TRMT PROGRAM
- CLIA Exp. Date: 02-01-2027
About AEGIS TREATMENT CENTERS, LLC
This page provides the complete NPI Profile along with additional information for Aegis Treatment Centers, Llc, a provider established in Tracy, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1083224141 assigned on August 2020. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Denise Winant (Credentialing Supervisor)
- NPI
- 1083224141
- Provider Name
- AEGIS TREATMENT CENTERS, LLC
- Entity Type
- Organization
- Location Address
- 1450 BESSIE AVE STE B TRACY, CA 95376
- Location Phone
- (800) 821-0775
- Location Fax
- (818) 206-0379
- Mailing Address
- 1317 ROUTE 73 STE 200 MOUNT LAUREL, NJ 08054
- Mailing Phone
- (856) 439-6111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-04-2020
- Last Update Date
- 09-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2125215
- Facility Type
- Other - NARCOTIC TRMT PROGRAM
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- MICHAEL J. WARING
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aegis Treatment Centers, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 2 | 2 | 4 | 1 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 4 | 2 | 8 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 4 + 2 + 8 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1083224141 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902499932 | SANDRA MARIE NAYARES LVN Individual | Licensed Vocational Nurse | 1450 BESSIE AVE STE B TRACY, CA 95376 (209) 597-3090 |
| 1730773722 | CHRISTY THUY PHAM LPT Individual | Licensed Psychiatric Technician | 1450 BESSIE AVE STE B TRACY, CA 95376 (209) 597-3090 |
| 1881370203 | MS. JOYCELYN ANTONIO 164X00000X Individual | Licensed Vocational Nurse | 1450 BESSIE AVE STE B TRACY, CA 95376 (209) 597-3090 |
| 1255186698 | CARL MIRAL Individual | Licensed Psychiatric Technician | 1450 BESSIE AVE STE B TRACY, CA 95376 (209) 597-3090 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083224141, enumerated in the NPI registry as an "organization" on August 04, 2020
The provider is located at 1450 Bessie Ave Ste B Tracy, Ca 95376 and the phone number is (800) 821-0775
This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone
The provider's CLIA number is 05D2125215 for a "other - narcotic trmt program" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 04, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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