CMS-1500 Box 24J / 33a • NPI
1134565740
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM2800X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
955 W. CENTER STREET,, SUITES 12A, 12B & 14, MANTECA, CA, 95337
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1134565740 (AEGIS TREATMENT CENTERS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1134565740)
Medicare Beneficiaries
21
Total Billed Services
775
Distinct CPT/HCPCS Codes
5
Medicare Allowed Total
$199,466.25
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
G2067 | 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 | 726 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1134565740 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AEGIS TREATMENT CENTERS, LLC |
| Plain-English Specialty | Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: 261QM2800X (Clinic/Center, Methadone Clinic) |
| Certifying / Licensing Body | Accreditation Association for Ambulatory Health Care (AAAHC) / CMS |
| Practice Location Address | 955 W. CENTER STREET,, SUITES 12A, 12B & 14, MANTECA, CA, 95337 |
| Practice Telephone / Fax | Tel: (209) 239-9600 |
| Administrative Mailing Address | 1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ, 08054-2202 |
| Enumeration & Last Sync | Enumerated: 2013-05-22 | CMS Record Updated: 2024-02-16 |
| Authorized Official | DENISE WINANT (Credentialing Supervisor) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in MANTECA
🔒 Are you AEGIS TREATMENT CENTERS, LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (261QM2800X)
What Does Taxonomy Code 261QM2800X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM2800X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AEGIS TREATMENT CENTERS, LLC)
Typical CPT / Diagnostic Procedures:- Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
- Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
- Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
261QR0405X — Clinic/Center, Rehabilitation, Substance Use DisorderPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: CA | License: 39-14 | Primary: Secondary |
261QM2800X — Clinic/Center, Methadone ClinicPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.