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MEDMARK TREATMENT CENTERS LOS ANGELES
NPI 1679062434
Clinic/Center - Rehabilitation, Substance Use Disorder in Los Angeles, CA

Active since May 08, 2018CLIA 05D2154360 · Waiver
11900 AVALON BLVD STE 200&201, LOS ANGELES, CA 90061(214) 379-3398(214) 550-2635 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2024, Feb 20, 2023, Apr 20, 2022 and 6 more (9 updates tracked since 2018).

About Medmark Treatment Centers Los Angeles NPPES

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

MEDMARK TREATMENT CENTERS LOS ANGELES (NPI 1679062434) is a healthcare organization registered as a rehabilitation, substance use disorder in Los Angeles, California and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists Bruce Jarvie, Vp, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1679062434
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameADDICTION RESEARCH AND TREATMENT, INC
Location Address11900 AVALON BLVD STE 200&201Los Angeles, CA 90061-2866
Mailing Address1720 Lakepointe Dr Ste 117Lewisville, TX 75057-6425 · (214) 379-3300 · Fax (214) 853-9018
Phone(214) 379-3398
Fax(214) 550-2635
Organization SubpartNo
Authorized OfficialBruce JarvieVp, Treasurer · (214) 379-3300
Enumeration DateMay 8, 2018
Last NPPES UpdateJuly 29, 20249 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1679062434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
11900 AVALON BLVD STE 200&201, Los Angeles, CA 90061
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Other Names 1

Doing Business AsMedmark Treatment Centers Los Angeles

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 05D2154360

Addiction Research And Treatment Inc Dba Medmark Treatment Centers Los Angeles · Los Angeles, CA
Active · expires Sep 10, 2026
CLIA Number05D2154360
Laboratory TypeNarcotic Treatment Progra
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorJack Azad
Laboratory Phone(323) 242-0500
Laboratory LocationAddiction Research And Treatment Inc Dba Medmark Treatment Centers Los Angeles11900 Avalon Boulevard Suite 200, Los Angeles, CA 90061
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
996 services44 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
531 services24 patients

Frequently Asked Questions

What is ADDICTION RESEARCH AND TREATMENT, INC's NPI number?

The NPI number assigned to this healthcare provider is 1679062434, enumerated as an "organization" on May 08, 2018.

Where is the provider located?

The provider is located at 11900 AVALON BLVD STE 200&201 LOS ANGELES, CA 90061 and the phone number is (214) 379-3398.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.