NPIMap

Organization Active NPI

Panacea, Inc

  • Community/Behavioral Health Agency
  • Fresno, CA
National Provider Identifier
1679758148
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PANACEA, INC
Practice address
1105 Divisadero St
Suite 2
Fresno, CA 93721-1143
Phone
(559) 241-0364
Fax
(559) 241-0342
NPI assigned
Jan 3, 2008
Organization subpart
Yes
Parent organization
PANACEA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

1105 Divisadero St
Suite 2
Fresno, CA 93721-1143

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

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

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1679758148",
    "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": "1105 DIVISADERO ST",
            "address_2": "SUITE 2",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211143",
            "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": "2008-01-03",
        "last_updated": "2008-01-03",
        "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 Jan 3, 2008; 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.