NPIMap

Organization Active NPI

Panacea, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1174691554
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA, INC.
Practice address
3152 N Millbrook Ave Ste D
Fresno, CA 93703-1459
Phone
(559) 241-0364
NPI assigned
Dec 1, 2006
Organization subpart
Yes
Parent organization
PANACEA SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Mr. Phillip Cowings
Title
Director
Phone
(559) 241-0364

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

3152 N Millbrook Ave Ste D
Fresno, CA 93703-1459

Mailing address

3152 N Millbrook Ave Ste D
Fresno, CA 93703-1459
Phone (559) 241-0364

Other identifiers 1

IdentifierTypeStateIssuer
MEDI-CALOtherCA343444000

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1174691554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N MILLBROOK AVE STE D",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031459",
            "telephone_number": "559-241-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N MILLBROOK AVE STE D",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031459",
            "telephone_number": "559-241-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANACEA SERVICES, INC.",
        "enumeration_date": "2006-12-01",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "COWINGS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-241-0364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "343444000",
            "identifier": "MEDI-CAL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.