CALAVERAS SLEEP DIAGNOSTICS, LLC (NPI# 1235620832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235620832 |
| Entity Type | Organization |
| Organization Name | CALAVERAS SLEEP DIAGNOSTICS, LLC |
| Practice Address |
700 Mountain Ranch Rd # A2 San Andreas CA 95249-9785 |
| Practice Telephone | 2094974830 |
| Practice Fax Number | 2094974888 |
| Mailing Telephone | 2094974830 |
| Mailing Fax Number | 2094974888 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | JEFFREY C FLYNN (MEMBER) |
| Authorized Official Telephone | 2092172973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
700 MOUNTAIN RANCH RD # A2 |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249-9785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184265175 | Meadowmont Pharmacy Inc | Pharmacy | 45 E Saint Charles St Ste C, San Andreas, CA 95249 | 2019-10-01 |
| 1225501844 | Samantha Jolene Cooper | Marriage & Family Therapist | 23 West Saint Charles, San Andreas, CA 95249 | 2019-01-07 |
| 1063992865 | Regina Elizabeth King | Speech-Language Pathologist | 255 Lewis Avenue, San Andreas, CA 95249 | 2018-08-21 |
| 1770060113 | Hilary Rose Gambetta | Speech-Language Pathologist | 3304 Highway 12, San Andreas, CA 95249 | 2018-07-27 |
| 1528508488 | Mact Health Board, Inc. | Optometrist | 1113a Highway 49, San Andreas, CA 95249 | 2017-02-27 |
| 1548704562 | Elizabeth Thompson | Non-emergency Medical Transport (VAN) | 130 E Saint Charles St, San Andreas, CA 95249 | 2016-12-09 |
| 1952730194 | Asha Brock | Marriage & Family Therapist | 593 West Saint Charles Street, San Andreas, CA 95249 | 2013-11-07 |
| 1376897355 | Marjorie Frances Kallis | Registered Nurse | 87 East St Charles St, San Andreas, CA 95249 | 2012-10-30 |
| 1841544897 | Curtis Saxton | Durable Medical Equipment & Medical Supplies | 620 East Saint Charles St., San Andreas, CA 95249 | 2012-10-30 |
| 1962759522 | Calaveras County Behavioral Health Children | Community/Behavioral Health | 373 West St.charles Street, Suite B, San Andreas, CA 95249 | 2012-08-13 |
| Find all providers in zip 95249 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578477 | Somnology Inc | Clinic/Center | 493 Seaport Ct, Redwood City, CA 94063-2787 | 2020-04-30 |
| 1457986986 | Got Sleep Inc | Clinic/Center | 9497 N Fort Washington Rd Ste 103, Fresno, CA 93730-0606 | 2020-03-04 |
| 1568095420 | Pasadena Neuro Center Inc | Clinic/Center | 1345 Riviera Dr, Pasadena, CA 91107-1659 | 2020-02-19 |
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1073155735 | Nisha Kohli | Clinic/Center | 24321 Bay Laurel Ave, Murrieta, CA 92562-2163 | 2019-10-15 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1760038145 | Priority Sleep Centers, LLC | Clinic/Center | 7965 Vineyard Ave Ste F7, Rancho Cucamonga, CA 91730-2313 | 2019-08-12 |
| 1912559741 | San Francisco Sleep, LLC | Clinic/Center | 2001 Union St Ste 250, San Francisco, CA 94123-4107 | 2019-07-11 |
| 1295397156 | Sky Sleep Lab Inc. | Clinic/Center | 16661 Ventura Blvd Ste 213, Encino, CA 91436-1940 | 2019-07-01 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANDREAS |
| Zip Code | 95249 |
Please comment or provide details below to improve the information on CALAVERAS SLEEP DIAGNOSTICS, LLC.
| 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.