AEGIS TREATMENT CENTERS, LLC
NPI 1194616169
Clinic/Center - Methadone in Long Beach, CA

Active since July 09, 2025CLIA 05D0686997 · Waiver
757 PACIFIC AVE, LONG BEACH, CA 90813(310) 513-1300 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1194616169) is a healthcare organization registered as a methadone in Long Beach, California and active in the NPI registry since July 2025. 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

NPI1194616169
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address757 PACIFIC AVELong Beach, CA 90813-4235
Mailing AddressPo Box 830850Philadelphia, PA 19182-0850
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
NPI 1194616169 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.

757 PACIFIC AVE, Long Beach, CA 90813

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 05D0686997

Aegis Treatment Centers, LLC · Wilmington, CA
Active · expires Aug 31, 2026
CLIA Number05D0686997
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDaniel Radnia
Laboratory Phone(310) 513-1300
Laboratory LocationAegis Treatment Centers, LLC909 N Avalon Blvd, Wilmington, CA 90744
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1194616169. It was assigned to this organization in the NPPES registry on July 9, 2025.

Where is Aegis Treatment Centers, LLC located?

Aegis Treatment Centers, LLC is located at 757 Pacific Ave, Long Beach, CA 90813. The listed phone number is (310) 513-1300.

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 05D0686997) 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 July 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.