NATOMAS SERVICE CENTER (NPI# 1235360686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235360686 |
| Entity Type | Organization |
| Organization Name | NATOMAS SERVICE CENTER |
| Practice Address |
3307 Broadway Ste 200 Sacramento CA 95817-2847 |
| Mailing Address |
3291 Truxel Rd Ste 26 Sacramento CA 95833-1065 |
| Practice Telephone | 9164544242 |
| Practice Fax Number | 9164542930 |
| Mailing Telephone | 9168086503 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |
| Authorized Official Name | MS. SANDRA G. HILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9164544242 |
| Authorized Official Credential | ASSOCIATE DEGREE |
| Is Organization Subpart | Y |
| Parent Organization Name | SACRAMENTO BLACK ALCOHOLISM CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
340008AN | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 340008AN | 01 |
| Street Address |
3307 BROADWAY STE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619084043 | Charlotte Adams | Marriage & Family Therapist | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2006-08-23 |
| 1033442488 | Stonegate Luthern Social Services | Counselor | 3307 Broadway Ste 200, Sacramento, CA 95817-2847 | 2009-09-16 |
| 1194058602 | Pamela Mechelle Harris | Counselor | 3307 Broadway Ste 200, 3307 Broadway, Ste. 200, Sacramento, CA 95817-2847 | 2009-09-15 |
| 1245462969 | Lutheran Social Services of Northern California | Counselor | 3307 Broadway Ste 200, Sacramento, CA 95817-2847 | 2009-08-13 |
| 1558558155 | Kristie Perkins | Counselor | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2007-09-27 |
| 1487780136 | Jessie Wright | Counselor | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2007-02-26 |
| 1427184183 | Shirley Drones | Counselor | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2007-02-26 |
| 1235274648 | Kathy Bigler | Counselor | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2007-02-21 |
| 1598800989 | Regan Branch | Case Manager/Care Coordinator | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2007-02-21 |
| 1649315045 | Mahagany Campbell | Case Manager/Care Coordinator | 3307 Broadway Ste 200, Sacramento, CA 95817-2821 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472440 | Jamie Lee Byrnes | Counselor | 777 12th St Ste 250, Sacramento, CA 95814-1929 | 2020-09-16 |
| 1104431519 | Sally Kathleen Montazer | Counselor | 1134 Clinton Rd, Sacramento, CA 95825-7304 | 2020-09-11 |
| 1255958187 | Douglas Benjamin Gudeman | Counselor | Alternative House-residential Treatment Center, 1550 Juliesse Avenue, Sacramento, CA 95815 | 2020-06-26 |
| 1972127611 | Brianna Hope Barron | Counselor | 8950 Cal Center Dr Ste 160&165, Sacramento, CA 95826-3259 | 2020-05-28 |
| 1699398420 | Selena Marie Brown | Counselor | 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 | 2020-05-27 |
| 1346863222 | Erin Harris | Counselor | 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 | 2020-05-26 |
| 1023638566 | Marta Yomara Rodriguez | Counselor | 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 | 2020-04-24 |
| 1033739321 | Yancey Outreach International Inc. | Counselor | 1457 Dreamy Way, Sacramento, CA 95835-1761 | 2020-04-16 |
| 1114554136 | Cassandra Arlene Del Toro Ruiz | Counselor | 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 | 2020-03-27 |
| 1952931487 | Anisa Sims | Counselor | 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 | 2020-01-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on NATOMAS SERVICE CENTER.
| 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.