INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1508001645
Clinic/Center - Community Health in Lancaster, CA

Q: What is Independence Community Treatment Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Active since December 03, 2008

228 E AVENUE H8, ROOM 101,102,103,104,105,106, AND CAFETERIA, LANCASTER, CA 93535(818) 776-1755(818) 776-1657 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Independence Community Treatment Clinic NPPES

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

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI 1508001645) is a healthcare organization registered as a community health in Lancaster, California and active in the NPI registry since December 2008. The organization lists Alex Branxburg, Program Director, as its authorized official.

NPPES Registry Identity

NPI1508001645

Entity TypeOrganization

Primary Taxonomy261QC1500X

Legal Business NameINDEPENDENCE COMMUNITY TREATMENT CLINIC

Location Address228 E AVENUE H8, ROOM 101,102,103,104,105,106, AND CAFETERIALancaster, CA 93535-1809

Mailing Address19231 Victory Blvd, Suite 554Reseda, CA 91335-6308 · (818) 776-1755 · Fax (818) 776-1657

Phone(818) 776-1755

Fax(818) 776-1657

Organization SubpartNo

Authorized OfficialAlex BranxburgProgram Director · (818) 776-1755

Enumeration DateDecember 3, 2008

Last NPPES UpdateDecember 18, 2009

✔ NPI 1508001645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities

Taxonomy Code261QC1500X

License✔ Licensed in CA · 960001358

228 E AVENUE H8, Lancaster, CA 93535

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Other Identifiers 2

Medicaid196856000CA

MedicaidCMM70956FCA

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 Independence Community Treatment Clinic's NPI number?

The NPI number for Independence Community Treatment Clinic is 1508001645. It was assigned to this organization in the NPPES registry on December 3, 2008.

Where is Independence Community Treatment Clinic located?

Independence Community Treatment Clinic is located at 228 E Avenue H8 Room 101,102,103,104,105,106, And Cafeteria, Lancaster, CA 93535. The listed phone number is (818) 776-1755.

What is Independence Community Treatment Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Independence Community Treatment Clinic was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.