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AEGIS TREATMENT CENTERS, LLC
NPI 1083224141
Clinic/Center - Methadone in Tracy, CA

Active since August 04, 2020CLIA Certified · 15 labs
1450 BESSIE AVE STE B, TRACY, CA 95376(800) 821-0775(818) 206-0379 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2023, Aug 4, 2020 (2 updates tracked since 2020).

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1083224141) is a healthcare organization registered as a methadone in Tracy, California and active in the NPI registry since August 2020. The organization holds 15 active CLIA laboratory certificates and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1083224141
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address1450 BESSIE AVE STE BTracy, CA 95376-3456
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(800) 821-0775
Fax(818) 206-0379
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateAugust 4, 2020
Last NPPES UpdateSeptember 17, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2023
✔ NPI 1083224141 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.
1450 BESSIE AVE STE B, Tracy, CA 95376
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CLIA Laboratory Certificates CMS CLIA 15

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 05D2192567

Aegis Treatment Centers, LLC · Tracy, CA
Active · expires Sep 10, 2026
CLIA Number05D2192567
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorRobert C. Hamilton
Laboratory Phone(209) 597-3090
Laboratory LocationAegis Treatment Centers, LLC1450 Bessie Ave Suite B, Tracy, CA 95376
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0973347

Aegis Treatment Centers, LLC · Stockton, CA
Active · expires May 2, 2028
CLIA Number05D0973347
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorBrian N. Talleur
Laboratory Phone(800) 821-0775
Laboratory LocationAegis Treatment Centers, LLC8626 Lower Sacramento Road Ste 41, Stockton, CA 95210
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0973352

Aegis Treatment Centers, LLC · Santa Maria, CA
Active · expires May 2, 2028
CLIA Number05D0973352
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorKristopher D. Howalt
Laboratory Phone(800) 821-0775
Laboratory LocationAegis Treatment Centers, LLC115 E Fesler St, Santa Maria, CA 93454
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0973367

Aegis Treatment Centers, LLC · Marysville, CA
Active · expires May 2, 2028
CLIA Number05D0973367
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorMichael J. Waring Do
Laboratory Phone(800) 821-0775
Laboratory LocationAegis Treatment Centers, LLC201 D St Ste G, Marysville, CA 95901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2138928

Aegis Treatment Centers, LLC · Grass Valley, CA
Active · expires Oct 25, 2027
CLIA Number05D2138928
Laboratory TypeNarcotic Trtmt Program
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorMichael J. Waring
Laboratory Phone(800) 821-0775
Laboratory LocationAegis Treatment Centers, LLC109 Margaret Lane, Grass Valley, CA 95945
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2102212

Aegis Treatment Centers, LLC Dba Healthy Connections · Lodi, CA
Active · expires Sep 16, 2027
CLIA Number05D2102212
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorBrian N. Talleur MD
Laboratory Phone(800) 821-0775
Laboratory LocationAegis Treatment Centers, LLC Dba Healthy Connections541 S Ham Lane, Ste B, Lodi, CA 95242
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.

NETASHA SARMENTO
Licensed Vocational Nurse
1450 BESSIE AVE STE B
TRACY, CA 95376
San Joaquin County (209) 721-8168
CARL MIRAL
Licensed Psychiatric Technician
1450 BESSIE AVE STE B
TRACY, CA 95376
San Joaquin County (209) 597-3090
CHRISTY THUY PHAM LPT
Licensed Psychiatric Technician
1450 BESSIE AVE STE B
TRACY, CA 95376
San Joaquin County (209) 597-3090
MS. JOYCELYN ANTONIO 164X00000X
Licensed Vocational Nurse
1450 BESSIE AVE STE B
TRACY, CA 95376
San Joaquin County (209) 597-3090
SANDRA MARIE NAYARES LVN
Licensed Vocational Nurse
1450 BESSIE AVE STE B
TRACY, CA 95376
San Joaquin County (209) 597-3090

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 1083224141. It was assigned to this organization in the NPPES registry on August 4, 2020.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 1450 Bessie Ave Ste B, Tracy, CA 95376. The listed phone number is (800) 821-0775.

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. 15 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 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.