NPIMap

Organization Active NPI

Panacea Services, Inc.

  • Community/Behavioral Health Agency
  • Elk Grove, CA
National Provider Identifier
1568735009
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA SERVICES, INC.
Practice address
8661 Power Inn Rd
Elk Grove, CA 95624-3467
Phone
(916) 854-4564
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

8661 Power Inn Rd
Elk Grove, CA 95624-3467

Mailing address

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

Other names 1

  • Panacea Services, Inc. at Monterey Trail High 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

8661 Power Inn Rd
Elk Grove, CA 95624

3353 Bradshaw Rd
Ste 106
Sacramento, CA 95827
Phone (916) 854-1580

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1568735009",
    "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",
            "fax_number": "916-857-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8661 POWER INN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243467",
            "telephone_number": "916-854-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "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_credential": "BA, LAADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea Services, Inc. at Monterey Trail High 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 Feb 14, 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.