Organization Active NPI

Natomas Service Center

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1235360686
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
340008AN Issued in CA
Legal business name
NATOMAS SERVICE CENTER
Practice address
3307 Broadway Ste 200
Sacramento, CA 95817-2847
Phone
(916) 454-4242
Fax
(916) 454-2930
NPI assigned
Aug 3, 2009
Organization subpart
Yes
Parent organization
SACRAMENTO BLACK ALCOHOLISM CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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

Authorized official

Name
Ms. Sandra G. Hill, ASSOCIATE DEGREE
Title
Executive Director
Phone
(916) 454-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 340008AN CA Primary

Addresses

Primary practice location

3307 Broadway Ste 200
Sacramento, CA 95817-2847

Mailing address

3291 Truxel Rd Ste 26
Sacramento, CA 95833-1065
Phone (916) 808-6503

Other identifiers 1

IdentifierTypeStateIssuer
340008ANOtherCAMEDI-CAL

National Provider Directory

National Provider Directory
Tax ID family
City of Sacramento3 organizations share this tax ID, including this one
Part of
Sobriety Brings a Change

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3291 Truxel Rd
Ste 26
Sacramento, CA 95833

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1235360686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 TRUXEL RD STE 26",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958331065",
            "telephone_number": "916-808-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172847",
            "telephone_number": "916-454-4242",
            "fax_number": "916-454-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATOMAS SERVICE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRAMENTO BLACK ALCOHOLISM CENTER",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-454-4242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ASSOCIATE DEGREE"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "340008AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "340008AN",
            "state": "CA"
        }
    ],
    "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 Aug 3, 2009; 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.