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AEGIS TREATMENT CENTERS, LLC
NPI 1205586336
Clinic/Center - Methadone in Madera, CA

Active since March 23, 2022CLIA 05D0687001 · Waiver
300 E ALMOND AVE STE 100, MADERA, CA 93637(559) 229-9040(559) 229-9060 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 5, 2023, Mar 22, 2023 (2 updates tracked since 2023).

About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1205586336) is a healthcare organization registered as a methadone in Madera, California and active in the NPI registry since March 2022. 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

NPI1205586336
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address300 E ALMOND AVE STE 100Madera, CA 93637-5653
Mailing Address7246 Remmet AveCanoga Park, CA 91303-1531 · (818) 206-0360 · Fax (818) 206-0379
Phone(559) 229-9040
Fax(559) 229-9060
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateMarch 23, 2022
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1205586336 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.

300 E ALMOND AVE STE 100, Madera, CA 93637
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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 05D0687001

Aegis Treatment Centers, LLC · Fresno, CA
Active · expires Aug 31, 2026
CLIA Number05D0687001
Laboratory TypeNarcotic Trtment Program
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMarc D. Lasher Do
Laboratory Phone(559) 229-9040
Laboratory LocationAegis Treatment Centers, LLC3707 E Shields Ave, Fresno, CA 93726
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is AEGIS TREATMENT CENTERS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1205586336, enumerated as an "organization" on March 23, 2022.

Where is the provider located?

The provider is located at 300 E ALMOND AVE STE 100 MADERA, CA 93637 and the phone number is (559) 229-9040.

What is the provider's specialty?

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