1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Clinic Center
  6. NPI Profile

AEGIS TREATMENT CENTERS, LLC
NPI 1003566134
Clinic/Center - Methadone in San Luis Obispo, CA

Active since March 23, 2022CLIA Certified · 2 labs
1551 BISHOP ST STE 520, SAN LUIS OBISPO, CA 93401(805) 461-5212(805) 461-5873 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aegis Treatment Centers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AEGIS TREATMENT CENTERS, LLC (NPI 1003566134) is a healthcare organization registered as a methadone in San Luis Obispo, California and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1003566134
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1551 BISHOP ST STE 520San Luis Obispo, CA 93401-4665
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(805) 461-5212
Fax(805) 461-5873
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1003566134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1551 BISHOP ST STE 520, San Luis Obispo, CA 93401
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2277362

Aegis Treatment Centers, LLC · San Luis Obispo, CA
Active · expires Feb 23, 2027
CLIA Number05D2277362
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorBrian N. Talleur
Laboratory Phone(805) 461-5212
Laboratory LocationAegis Treatment Centers, LLC1551 Bishop Street, Suite 520, San Luis Obispo, CA 93401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0686995

Aegis Treatment Centers, LLC · Atascadero, CA
Active · expires Aug 31, 2026
CLIA Number05D0686995
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBrian N. Talleur
Laboratory Phone(805) 461-5212
Laboratory LocationAegis Treatment Centers, LLC6500 Morro Road, Ste D, Atascadero, CA 93422
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN RENEE MAYBERRY
Counselor (Addiction (Substance Use Disorder))
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 461-5212
DR. ARTHUR CORWIN MCLEAN MD
Allergy & Immunology
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-2744
PAIGE DANIELLE FULMER LPT
Licensed Psychiatric Technician
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (415) 756-1799
DR. ROBERT GERALD CASDEN M.D.
Specialist
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 541-5525
JENNIFER OWEN ATC, PA-C
Physician Assistant
1551 BISHOP ST STE 520
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 543-2744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aegis Treatment Centers, LLC's NPI number?

The NPI number for Aegis Treatment Centers, LLC is 1003566134. It was assigned to this organization in the NPPES registry on March 23, 2022.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1551 Bishop St Ste 520, San Luis Obispo, CA 93401. The listed phone number is (805) 461-5212.

What is Aegis Treatment Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Aegis Treatment Centers, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Aegis Treatment Centers, LLC was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.