Pes-Ebs.Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

310021AP Issued in CA

Legal business name

PES-EBS.INC.

Practice address

340 Lincoln St
Roseville, CA 95678-2230

Phone

(530) 863-4720

Fax

(530) 888-9065

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Debora Anne Martin, MA

Title

Program Director

Phone

(530) 863-4720

Specialties & licenses 1

Addresses

Tax ID family

Pes-Ebsinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Pes-Ebs.Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, CA
  • NPI 1487902151
  NPD tax ID
• Pes-Ebs.Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, CA
  • NPI 1881944080
  NPD tax ID

Locations

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1316295082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 KEMPER RD",
            "address_2": "STE 2",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039067",
            "telephone_number": "530-863-4720",
            "fax_number": "530-888-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 LINCOLN ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782230",
            "telephone_number": "530-863-4720",
            "fax_number": "530-888-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PES-EBS.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "530-863-4720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "310021AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Perry
• Mark Elliott Perry Jr.
• Olena Perry, MD
• Stephanie R Perry
• Diamond Lateea Perryman
• Peter Bales, M.D., Inc.
• Stephen Robert Peters, M.D.
• Randy Petersen, ND (TRADITIONAL)
• Alan Gunnar Peterson, PA
• Barry Alan Peterson, PHARMD

• Addiction (Substance Use Disorder) Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.