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AEGIS TREATMENT CENTERS, LLC
NPI 1083363345
Clinic/Center - Methadone in Sonora, CA

Active since March 22, 2022CLIA 05D0973366 · Waiver
691 PAULINE CT, SONORA, CA 95370(209) 527-4597(209) 527-4599 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 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 1083363345) is a healthcare organization registered as a methadone in Sonora, California and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through May 2, 2028 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1083363345
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address691 PAULINE CTSonora, CA 95370-5216
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111
Phone(209) 527-4597
Fax(209) 527-4599
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateMarch 22, 2022
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1083363345 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.
691 PAULINE CT, Sonora, CA 95370
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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 05D0973366

Aegis Treatment Centers, LLC · Modesto, CA
Active · expires May 2, 2028
CLIA Number05D0973366
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorRobert C. Southmayd
Laboratory Phone(209) 527-4597
Laboratory LocationAegis Treatment Centers, LLC1235 Mchenry Ave Suite B, Modesto, CA 95350
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 4

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

VICTORIA HERBERT-THORSLAND LVN
Licensed Vocational Nurse
691 PAULINE CT
SONORA, CA 95370
Tuolumne County (209) 288-0302
STEVEN H PETERSON MD
Specialist
691 PAULINE CT
SONORA, CA 95370
Tuolumne County (209) 532-6961
STEVEN H. PETERSON, M.D., INC.
Specialist
691 PAULINE CT
SONORA, CA 95370
Tuolumne County (209) 532-6961
LORI MARIE WATSON
Licensed Vocational Nurse
691 PAULINE CT
SONORA, CA 95370
Tuolumne County (209) 288-0302

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 1083363345. It was assigned to this organization in the NPPES registry on March 22, 2022.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 691 Pauline Ct, Sonora, CA 95370. The listed phone number is (209) 527-4597.

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 05D0973366) is associated with this NPI, valid through May 2, 2028. 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 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.