Panacea Pointe Medical Centre

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PANACEA POINTE MEDICAL CENTRE

Practice address

6200 Canoga Ave Ste 450
Woodland Hills, CA 91367-7464

Phone

(310) 709-7460

NPI assigned

Mar 20, 2026

Last updated

Mar 20, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ollie Joseph Jackson IIINPI 1104084698

Title

Physician

Phone

(310) 709-7460

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ollie Joseph Jackson III, M.D.

  • Surgery Physician
  • Beverly Hills, CA
  • NPI 1104084698
  NPD Authorized official

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1164370573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 SARGENT AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 CANOGA AVE STE 450",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677464",
            "telephone_number": "310-709-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA POINTE MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "OLLIE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-709-7460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Ann Palomares
• Alina Palomino
• Sierra Palstring
• Claire Paluzzi
• Ting Kung Pan, MD
• Alan D Panameno, BA
• Megan Michelle Panatier, MS, CCC-SLP
• Moushmita Panda, PT
• Jaspreet Panesar, MD
• Hyosong D. Pang, MD

• Medical Specialty Clinic/Center in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.