NPIMap

Organization Active NPI

Panacea, Inc

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1457535791
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA, INC
Practice address
830 Fresno St
Fresno, CA 93706-3117
Phone
(559) 241-0364
Fax
(559) 241-0342
NPI assigned
Dec 21, 2007
Organization subpart
Yes
Parent organization
PANACEA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Carolyn Golden
Title
Director
Phone
(559) 241-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

830 Fresno St
Fresno, CA 93706-3117

Mailing address

1617 E Saginaw Way
Suite 109
Fresno, CA 93704-4458
Phone (559) 241-0364

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
Part of
Panacea Services Inc at James Rutter Middle School

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

830 Fresno St
Fresno, CA 93706
Phone (559) 241-0364

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1457535791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E SAGINAW WAY",
            "address_2": "SUITE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044458",
            "telephone_number": "559-241-0364",
            "fax_number": "559-241-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063117",
            "telephone_number": "559-241-0364",
            "fax_number": "559-241-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PANACEA, INC",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-241-0364"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.