NPIMap

Organization Active NPI

Panacea Services, Inc.

  • Early Intervention Provider Agency
  • Elk Grove, CA
National Provider Identifier
1295087963
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PANACEA SERVICES, INC.
Practice address
8365 Whitelock Pkwy
Elk Grove, CA 95757-5930
Phone
(916) 683-7670
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mrs. Trisha Seastrom, BA, LAADC, CADC II
Title
Executive Director
Phone
(916) 854-4564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X CA Primary

Addresses

Primary practice location

8365 Whitelock Pkwy
Elk Grove, CA 95757-5930

Mailing address

3353 Bradshaw Rd
Suite 106
Sacramento, CA 95827-2607
Phone (916) 854-4564

Other names 1

  • Panacea Services, Inc. at Elizabeth Pinkerton Middle School Other name

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

8365 Whitelock Pkwy
Elk Grove, CA 95757
Phone (916) 683-7670

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1295087963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 BRADSHAW RD",
            "address_2": "SUITE 106",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272607",
            "telephone_number": "916-854-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 WHITELOCK PKWY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575930",
            "telephone_number": "916-683-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "SEASTROM",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-854-4564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA, LAADC, CADC II"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea Services, Inc. at Elizabeth Pinkerton Middle School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.