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: July 19, 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 a CLIA Waiver certificate valid through July 14, 2027 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
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

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
05D2229687
Facility Type
Other - NARCOTIC TREATMENT PROG
Certificate Effective Date
July 15, 2025
Certificate Expiration Date
July 14, 2027
Laboratory Director
GEORGE I. GIRGIS
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.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Licensed Vocational Nurse
1450 BESSIE AVE STE B
TRACY, CA 95376
Licensed Psychiatric Technician
1450 BESSIE AVE STE B
TRACY, CA 95376
Licensed Vocational Nurse
1450 BESSIE AVE STE B
TRACY, CA 95376
Licensed Psychiatric Technician
1450 BESSIE AVE STE B
TRACY, CA 95376
Licensed Vocational Nurse
1450 BESSIE AVE STE B
TRACY, CA 95376

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083224141, enumerated 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.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.