Active NPI
Natomas Service Center
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1235360686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 340008AN
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340008AN | Other | CA | MEDI-CAL |
National Provider Directory
National Provider Directory- Tax ID family
- City of Sacramento
- 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.
-
- Developmentally Disabled Services Day Training Agency
- Sacramento, CA
- NPI 1073450243
-
- Ambulance
- Sacramento, CA
- NPI 1811054745
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.