PANACEA, INC. (NPI# 1003093592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003093592 |
| Entity Type | Organization |
| Organization Name | PANACEA, INC. |
| Other Organization Name | PANACEA, INC. AT KENNEDY HIGH SCHOOL |
| Practice Address |
6715 Gloria Dr Sacramento CA 95831-2008 |
| Mailing Address |
3353 Bradshaw Rd Suite 106 Sacramento CA 95827-2607 |
| Practice Telephone | 9168544564 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | MRS. TRISHA SEASTROM (DIRECTOR) |
| Authorized Official Telephone | 9168544564 |
| Authorized Official Credential | BA, CADCA, CAMF |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Panacea, Inc. at Kennedy High School | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043488174 | Panacea, Inc. | Community/Behavioral Health | 2850 49th St, Sacramento, CA 95817-2303 | 2008-02-12 |
| 1275711137 | Panacea, Inc. | Community/Behavioral Health | 6131 Orange Ave, Sacramento, CA 95823-3226 | 2008-02-03 |
| 1457539314 | Panacea, Inc. | Community/Behavioral Health | 8333 Vintage Park Dr, Sacramento, CA 95828-6178 | 2008-02-03 |
| 1740467232 | Panacea, Inc. | Community/Behavioral Health | 5301 N St, Sacramento, CA 95819-4126 | 2008-01-28 |
| 1477730968 | Panacea, Inc. | Community/Behavioral Health | 3801 Broadway, Sacramento, CA 95817-3301 | 2008-01-28 |
| 1568649051 | Panacea, Inc. | Community/Behavioral Health | 5301 Elmer Way, Sacramento, CA 95822-2414 | 2008-01-28 |
| 1821275314 | Panacea, Inc. | Community/Behavioral Health | 3063 Gold Canal Dr, Rancho Cordova, CA 95670 | 2008-01-28 |
| 1922285410 | Panacea, Inc. | Community/Behavioral Health | 9325 Mirandy Dr, Sacramento, CA 95826-5224 | 2008-01-27 |
| 1831376326 | Panacea, Inc. | Community/Behavioral Health | 1600 Vallejo Way, Sacramento, CA 95818-3837 | 2008-01-27 |
| 1174691554 | Panacea, Inc. | Clinic/Center | 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 | 2006-12-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PANACEA, INC. | 4221 Fort Hamilton Parkway, Brooklyn, Ny 11219 |
| Street Address |
6715 GLORIA DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95831-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063930584 | Oliver Insixiengmay | Behavior Technician | 112 Fountain Oaks Cir Apt 244, Sacramento, CA 95831 | 2017-09-05 |
| 1194240630 | Kevin Christofer Abdelnour | Specialist/Technologist | 6866 Sailboat Way, Sacramento, CA 95831 | 2017-08-05 |
| 1508389958 | Another Choice Anothe Chance | Substance Abuse Rehabilitation Facility | 6715 Goria Drive Rooms 1 & A, Sacramento, CA 95831 | 2017-07-18 |
| 1225568819 | Taylor Shahbazian | Behavior Technician | 6660 Harmon Drive, Sacramento, CA 95831 | 2017-06-15 |
| 1639618572 | Dignity Care Medical Transportation | Nursing Care | 7230 Saouth Land Park Drive, Suite 101, Sacramento, CA 95831 | 2017-02-13 |
| 1417307208 | Cecilia Vasquez | Counselor | 1026 Florin Road, #198, Sacramento, CA 95831 | 2016-06-13 |
| 1750765053 | Sacramento Physicians Medical Group, Inc. | Clinic/Center | 7248 South Land Park Dr, 200, Sacramento, CA 95831 | 2015-07-16 |
| 1346660818 | Bruce Wright | Driver | 7485 Rush River, Suite 710 #186, Sacramento, CA 95831 | 2014-04-23 |
| 1477993376 | Brenda Ho, Dds, Inc. | Clinic/Center | 905 Secret River Drive, Suite E, Sacramento, CA 95831 | 2013-06-25 |
| 1285977686 | Julie Christine Kwong | Physical Therapist | 7077 Rush River Drive, Sacramento, CA 95831 | 2013-04-03 |
| Find all providers in zip 95831 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417580093 | Turning Point Community Programs | Community/Behavioral Health | 5417 Madison Ave, Sacramento, CA 95841-3164 | 2020-02-21 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| 1558907543 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite 102, Sacramento, CA 95825 | 2019-11-25 |
| 1912463852 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 3800 Watt Ave., Suite 110, Sacramento, CA 95821-2622 | 2019-02-15 |
| 1902379068 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S. Street, Suite 101, Sacramento, CA 95811-6919 | 2019-01-10 |
| 1952883829 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave Suite 102, Sacramento, CA 95825 | 2018-09-06 |
| 1770088718 | Central Star Behavioral Health, Inc. | Community/Behavioral Health | 401 S St Ste 101, Sacramento, CA 95811-6919 | 2018-03-29 |
| 1891299350 | R&c Holdings | Community/Behavioral Health | 1109 Roundtree Ct, Sacramento, CA 95831-2640 | 2018-03-20 |
| 1437657301 | Mending Hearts Mending Minds Inc | Community/Behavioral Health | 6524 44th Street, Sacramento, CA 95823-5667 | 2018-01-25 |
| 1902312838 | Lilliput Families | Community/Behavioral Health | 2750 Sutterville Rd # Cottage3, Sacramento, CA 95820-1024 | 2017-12-14 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95831 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.