AEGIS TREATMENT CENTERS, LLC
NPI 1548819550
Clinic/Center - Methadone in Ridgecrest, CA
NPI Status: Active since September 11, 2019
Contact Information
1111 W INYOKERN RD STE A&B
RIDGECREST, CA
ZIP 93555
Phone: (800) 821-0775
Fax: (818) 206-0379
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 05D2192567
- CLIA Cert. Type: Other - NARCOTIC TREATMENT PROGRA
- CLIA Exp. Date: 09-10-2026
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 Ridgecrest, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1548819550 assigned on September 2019. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated July 2025. The authorized official of this NPI record is Denise Winant (Credentialing Supervisor)
- NPI
- 1548819550
- Provider Name
- AEGIS TREATMENT CENTERS, LLC
- Entity Type
- Organization
- Location Address
- 1111 W INYOKERN RD STE A&B RIDGECREST, CA 93555
- 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
- 09-11-2019
- Last Update Date
- 07-01-2025
- 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
- 05D2192567
- Facility Type
- Other - NARCOTIC TREATMENT PROGRA
- Certificate Effective Date
- September 11, 2024
- Certificate Expiration Date
- September 10, 2026
- Laboratory Director
- BRIAN N. TALLEUR
- 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 | 5 | 4 | 8 | 8 | 1 | 9 | 5 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 16 | 1 | 18 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 1 + 6 + 1 + 1 + 8 + 5 + 1 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1548819550 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548819550, enumerated in the NPI registry as an "organization" on September 11, 2019
The provider is located at 1111 W Inyokern Rd Ste A&b Ridgecrest, Ca 93555 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 05D2192567 for a "other - narcotic treatment progra" 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 September 11, 2019. 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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