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AEGIS TREATMENT CENTERS, LLC
NPI 1225760069
Clinic/Center - Methadone in Barstow, CA

Active since June 29, 2022CLIA 05D2276764 · Waiver
222 E MAIN ST STE 102&103, BARSTOW, CA 92311(760) 956-2462(760) 956-7542 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 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 1225760069) is a healthcare organization registered as a methadone in Barstow, California and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1225760069
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAEGIS TREATMENT CENTERS, LLC
Location Address222 E MAIN ST STE 102&103Barstow, CA 92311-2361
Mailing Address7246 Remmet AveCanoga Park, CA 91303-1531 · (818) 206-0360
Phone(760) 956-2462
Fax(760) 956-7542
Organization SubpartNo
Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268
Enumeration DateJune 29, 2022
Last NPPES UpdateMarch 8, 2023
NPPES CertifiedMarch 8, 2023
✔ NPI 1225760069 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.

222 E MAIN ST STE 102&103, Barstow, CA 92311
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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 05D2276764

Aegis Treatment Centers, LLC · Barstow, CA
Active · expires Feb 14, 2027
CLIA Number05D2276764
Laboratory TypeNarcotic Treatment
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorKimberly E. Conley
Laboratory Phone(760) 606-0021
Laboratory LocationAegis Treatment Centers, LLC222 E Main St Ste 102, Barstow, CA 92311
CLIA data matches this NPI record on: Address Name
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 1225760069, enumerated as an "organization" on June 29, 2022.

Where is the provider located?

The provider is located at 222 E MAIN ST STE 102&103 BARSTOW, CA 92311 and the phone number is (760) 956-2462.

What is the provider's specialty?

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