NPIMap

Organization Active NPI

National Council on Alcoholism and Drug Dependance, Sacramento Region

  • Clinic/Center
  • Sacramento, CA
National Provider Identifier
1346294907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
19608 Issued in CA
Legal business name
NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDANCE, SACRAMENTO REGION
Practice address
2316 Bell Executive LN
Sacramento, CA 95825-4068
Phone
(916) 922-9217
Fax
(916) 576-6274
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nikki Buckstead Pane
Title
Executive Director
Phone
(916) 922-9217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 19608 CA Primary

Addresses

Primary practice location

2316 Bell Executive LN
Sacramento, CA 95825-4068

Mailing address

2316 Bell Executive LN
Sacramento, CA 95825-4067
Phone (916) 922-9217

Other identifiers 1

IdentifierTypeStateIssuer
3465OtherCADMC

National Provider Directory

National Provider Directory
Tax ID family
National Council on Alcoholism and Drug Dependance Sacramento Region3 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.

Locations

2316 Bell Executive Ln
Sacramento, CA 95825
Phone (916) 922-9217

Practitioners & affiliated clinicians

Practitioners 2

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346294907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254067",
            "telephone_number": "916-922-9217",
            "fax_number": "916-576-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 BELL EXECUTIVE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254068",
            "telephone_number": "916-922-9217",
            "fax_number": "916-576-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL COUNCIL ON ALCOHOLISM AND DRUG DEPENDANCE, SACRAMENTO REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKSTEAD PANE",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-922-9217"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "19608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "3465",
            "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 22, 2020; 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.