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Addiction Therapeutic Services

NPI 1063045482ActiveOrganization· Preferred Provider Organization· Barstow, CA

Preferred Provider Organization in Barstow, California, registered in NPPES in February 2020, part of J. Herndons LLC. The authorized official on file is Josephine Herndon, Ceo.

Overview

NPI1063045482
StatusActive
Entity typeOrganization (subpart)
Parent organizationJ. Herndons LLC
NPI issuedFeb 13, 2020
Last updated in NPPESMay 14, 2024
Certified by providerMay 14, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Rehabilitation, Substance Use Disorder261QR0405X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Barstow

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