AEGIS TREATMENT CENTERS, LLC
NPI 1780746479
Clinic/Center - Methadone in Bakersfield, CA

Q: What is Aegis Treatment Centers, LLC's NPI number?

The NPI number for Aegis Treatment Centers, LLC is 1780746479. It was assigned to this organization in the NPPES registry on December 15, 2006.

Q: What is Aegis Treatment Centers, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Active since December 15, 2006CLIA 05D0686996 · Waiver

1018 21ST ST, BAKERSFIELD, CA 93301(661) 861-9967 Get Directions Write a Review

NPPES record last updated: September 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Aegis Treatment Centers, Llc NPPES

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

AEGIS TREATMENT CENTERS, LLC (NPI 1780746479) is a healthcare organization registered as a methadone in Bakersfield, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Denise Winant, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1780746479

Entity TypeOrganization

Primary Taxonomy261QM2800X

Legal Business NameAEGIS TREATMENT CENTERS, LLC

Location Address1018 21ST STBakersfield, CA 93301-4709

Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 439-6111

Phone(661) 861-9967

Organization SubpartNo

Authorized OfficialDenise WinantCredentialing Supervisor · (732) 570-0268

Enumeration DateDecember 15, 2006

Last NPPES UpdateSeptember 17, 2023

NPPES CertifiedSeptember 17, 2023

✔ NPI 1780746479 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.

1018 21ST ST, Bakersfield, CA 93301

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Other Identifiers 1

MedicaidHDC70067FCA

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 05D0686996

Aegis Treatment Centers, LLC · Bakersfield, CA

Active · expires Aug 31, 2028

CLIA Number05D0686996

Laboratory TypeNarcotic Trtment Program

Certificate Effective DateSeptember 1, 2026

Certificate Expiration DateAugust 31, 2028

Laboratory DirectorNdukwe Odeluga

Laboratory Phone(661) 861-9967

Laboratory LocationAegis Treatment Centers, LLC1018 21st Street, Bakersfield, CA 93301

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 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.

1,702 services55 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.

229 services27 patients

Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a G2076

Intake activities involve a comprehensive medical examination and initial assessment. This is carried out by a program physician, a primary care doctor, or a qualified healthcare professional under their oversight. The process helps to understand your current health status and identify any potential health issues.

17 services14 patients

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.

SARAH NICOLE DURBIN

Counselor (Addiction (Substance Use Disorder))