NPIMap

Organization Active NPI

Panacea Services, Inc. at Laguna Creek High School

  • Community/Behavioral Health Agency
  • Elk Grove, CA
National Provider Identifier
1043462864
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA SERVICES, INC. AT LAGUNA CREEK HIGH SCHOOL
Practice address
9050 Vicino Dr
Elk Grove, CA 95758-5859
Phone
(916) 854-4564
NPI assigned
Oct 13, 2008
Organization subpart
Yes
Parent organization
PANACEA SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

9050 Vicino Dr
Elk Grove, CA 95758-5859

Mailing address

3353 Bradshaw Rd
Suite 106
Sacramento, CA 95827-2607
Phone (916) 854-4564

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
Part of
Panacea Services Inc at James Rutter Middle School

Organizations with this tax ID in the same state 14

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

View all 14

Locations

9050 Vicino Dr
Elk Grove, CA 95758
Phone (916) 505-0535

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1043462864",
    "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",
            "telephone_number": "916-854-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 VICINO DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585859",
            "telephone_number": "916-854-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA SERVICES, INC. AT LAGUNA CREEK HIGH SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANACEA SERVICES, INC.",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "SEASTROM",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-854-4564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, CADC II, CAMF"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.