NPIMap

Organization Active NPI

Panacea, Inc

  • Specialist
  • Sacramento, CA
National Provider Identifier
1215043484
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PANACEA, INC
Practice address
3353 Bradshaw Rd Ste 103
Sacramento, CA 95827-2608
Phone
(916) 854-4564
Fax
(916) 857-1580
NPI assigned
Aug 21, 2006
Organization subpart
No

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. Carmen Maroney
Title
Administrator
Phone
(916) 875-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3353 Bradshaw Rd Ste 103
Sacramento, CA 95827-2608

Mailing address

3353 Bradshaw Rd Ste 103
Sacramento, CA 95827-2608
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

Organizations with this tax ID in the same state 24

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

View all 24

Locations

3353 Bradshaw Rd
Ste 103
Sacramento, CA 95827
Phone (916) 857-1570

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1215043484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272608",
            "telephone_number": "916-854-4564",
            "fax_number": "916-857-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD STE 103",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272608",
            "telephone_number": "916-854-4564",
            "fax_number": "916-857-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "MARONEY",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-875-6962",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.