NPIMap

Organization Active NPI

Panacea, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1003093592
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA, INC.
Practice address
6715 Gloria Dr
Sacramento, CA 95831-2008
Phone
(916) 854-4564
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Trisha Seastrom, BA, CADCA, CAMF
Title
Director
Phone
(916) 854-4564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6715 Gloria Dr
Sacramento, CA 95831-2008

Mailing address

3353 Bradshaw Rd
Suite 106
Sacramento, CA 95827-2607

Other names 1

  • Panacea, Inc. at Kennedy High School Other name

National Provider Directory

National Provider Directory
Tax ID family
Panacea Services Inc at James Rutter Middle School52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

6715 Gloria Dr
Sacramento, CA 95831

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1003093592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD",
            "address_2": "SUITE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 GLORIA DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312008",
            "telephone_number": "916-854-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SEASTROM",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-854-4564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, CADCA, CAMF"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea, Inc. at Kennedy High School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.