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INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1770711848
Clinic/Center - Community Health in Lancaster, CA

Active since June 29, 2009
43520 DIVISION ST, 202, CONFERENCE ROOM, LANCASTER, CA 93535(818) 776-1755 Get Directions Write a Review

NPPES record last updated: March 8, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Independence Community Treatment Clinic NPPES

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

INDEPENDENCE COMMUNITY TREATMENT CLINIC (NPI 1770711848) is a healthcare organization registered as a community health in Lancaster, California and active in the NPI registry since June 2009. The organization lists Alex Branzburg, Executive Program Director, as its authorized official.

NPPES Registry Identity

NPI1770711848
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameINDEPENDENCE COMMUNITY TREATMENT CLINIC
Location Address43520 DIVISION ST, 202, CONFERENCE ROOMLancaster, CA 93535-4089
Mailing Address19231 Victory BlvdReseda, CA 91335-6308 · (818) 776-1755
Phone(818) 776-1755
Organization SubpartNo
Authorized OfficialAlex BranzburgExecutive Program Director · (818) 776-1755
Enumeration DateJune 29, 2009
Last NPPES UpdateMarch 8, 2010
✔ NPI 1770711848 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
43520 DIVISION ST, Lancaster, CA 93535
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Other Identifiers 2

MedicaidCMM70956FCA
Medicaid196856000CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACI NICOLE BOWIE
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MISS KIMBERLY ARMSTRONG
Day Training/Habilitation Specialist
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
SUE MORAVEC MSW
Social Worker (Clinical)
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
BRENDA THOMAS
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MR. OTTO RENE AGUILAR JR.
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
KENDALL MARIE DILLARD
Social Worker (Clinical)
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
JENNIFER FANISY RAMIREZ
Rehabilitation Practitioner
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783
MONICA CASTRO
Case Manager/Care Coordinator
43520 DIVISION ST
LANCASTER, CA 93535
Los Angeles County (661) 266-4783

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 1770711848. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is Independence Community Treatment Clinic located?

Independence Community Treatment Clinic is located at 43520 Division St 202, Conference Room, 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 March 8, 2010. 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.