Organization Active NPI

Panacea Services, Inc.

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1902236797
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
340064AP Issued in CA
Legal business name
PANACEA SERVICES, INC.
Practice address
5437 Palm Ave
Sacramento, CA 95841-2317
Phone
(559) 854-4564
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Mr. Phillip Cowings
Title
Ceo
Phone
(559) 241-0364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 340064AP CA Primary

Addresses

Primary practice location

5437 Palm Ave
Sacramento, CA 95841-2317

Mailing address

3152 N Millbrook Ave Ste D
Fresno, CA 93703-1459
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

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

5437 Palm Ave
Sacramento, CA 95841
Phone (559) 854-4564

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1902236797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N MILLBROOK AVE STE D",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031459",
            "telephone_number": "559-241-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 PALM AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412317",
            "telephone_number": "559-854-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "COWINGS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-241-0364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "340064AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 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.