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AEGIS TREATMENT CENTERS, LLC
NPI 1023173135
Clinic/Center - Methadone in Pomona, CA

Active since December 27, 2006CLIA 05D0686988 · Waiver
1050 N GAREY AVE, POMONA, CA 91767(909) 623-6391(909) 620-9491 Get Directions Write a Review

NPPES record last updated: September 17, 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 1023173135) is a healthcare organization registered as a methadone in Pomona, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1023173135
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1050 N GAREY AVEPomona, CA 91767-3802
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(909) 623-6391
Fax(909) 620-9491
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateDecember 27, 2006
Last NPPES UpdateSeptember 17, 2023
NPPES CertifiedSeptember 17, 2023
✔ NPI 1023173135 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.
1050 N GAREY AVE, Pomona, CA 91767
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Other Identifiers 1

MedicaidHDC70084FCA

CLIA Laboratory Certificates CMS CLIA

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 05D0686988

Aegis Treatment Centers, LLC · Pomona, CA
Active · expires Aug 31, 2026
CLIA Number05D0686988
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKimberly E. Conley
Laboratory Phone(909) 623-6391
Laboratory LocationAegis Treatment Centers, LLC1050 N Garey Ave, Pomona, CA 91767
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
603 services23 patients

Other Providers at the Same Location NPPES 20

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

CAMERON SIDNEY
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
JENNIFER BERNDT M.A.
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
ELIZABETH AMAYA
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6397
SABRINA MARIE JONES SUDCC
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
MR. CODY C. ROGERS
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
JILL TEAGARDIN
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6397
JOHN EDWARD PRATER SR.
Counselor (Addiction (Substance Use Disorder))
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391
AEGIS TREATMENT CENTERS, LLC
Clinic/Center (Methadone)
1050 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 623-6391

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 1023173135. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1050 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 623-6391.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0686988) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aegis Treatment Centers, LLC was last updated on September 17, 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.