Organization Active NPI

Panacea Group, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1780926550
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PANACEA GROUP, INC.
Practice address
5419 W Sunset Blvd Ste 235
Los Angeles, CA 90027-5691
Phone
(818) 548-4906
Fax
(818) 548-5749
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Simon Karimian
Title
Ceo
Phone
(323) 333-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5419 W Sunset Blvd Ste 235
Los Angeles, CA 90027-5691

Mailing address

5419 W Sunset Blvd Ste 235
Los Angeles, CA 90027-5691
Phone (818) 548-4906

Other identifiers 1

IdentifierTypeStateIssuer
059437OtherCACENTER FOR MEDICARE & MEDICAID SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Panacea Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5419 W Sunset Blvd
Ste 235
Los Angeles, CA 90027
Phone (818) 548-4906

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1780926550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 W SUNSET BLVD STE 235",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275691",
            "telephone_number": "818-548-4906",
            "fax_number": "818-548-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 W SUNSET BLVD STE 235",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275691",
            "telephone_number": "818-548-4906",
            "fax_number": "818-548-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "KARIMIAN",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-333-7576",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTER FOR MEDICARE & MEDICAID SERVICES",
            "identifier": "059437",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.