OrganizationActive
Aegis Treatment Centers, LLC
NPI 1902242753 · Methadone Clinic · Stockton, CA
Provider details
- NPI number
- 1902242753
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexander Dodd, Executive Director(415) 205-9005
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8626 Lower Sacramento Rd
Suite #41
Stockton, CA 95210-1835
Phone: (209) 478-2487
Street-level locationGet directions
Mailing address
7246 Remmet Ave
Canoga Park, CA 91303-1531
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2013-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.