JOSEPH L. LESCANO (NPI# 1417030818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417030818 |
| Entity Type | Organization |
| Organization Name | JOSEPH L. LESCANO |
| Other Organization Name | PACIFIC SLEEP CARE & WELLNESS |
| Practice Address |
2221 Army Dr Ste 209 Manhattan Plaza Dededo GU 96929 |
| Mailing Address |
Po Box 5622 Hagatna GU 96929 |
| Practice Telephone | 6716475477 |
| Practice Fax Number | 6716466876 |
| Mailing Telephone | 6716475477 |
| Mailing Fax Number | 6716466876 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-10-24 |
| Authorized Official Name | MRS. MONA M MANLUTAC (OFFICE MANAGER) |
| Authorized Official Telephone | 6716475477 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOSEPH L LESCANO DBA MEDQUEST MEDICAL SUPPLY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | GU | Suppliers | |
| N | 335G00000X | Medical Foods Supplier | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GU | M0098148 | 05 |
| Other Name | Type Code |
|---|---|
| Pacific Sleep Care & Wellness | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2221 Army Dr Ste 209 Manhattan Plaza, Dededo, GU 96929 | 6716475477 | 6716466876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073034930 | Joseph L. Lescano | Clinic/Center | Unit 102 Mango City Bldg. Middle Rd. Garapan, Saipan, Saipan, MP 96950 | 2017-06-30 |
| Street Address |
2221 ARMY DR STE 209 MANHATTAN PLAZA |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
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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.