VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP (NPI# 1417169665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417169665 |
| Entity Type | Organization |
| Organization Name | VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP |
| Practice Address |
564 Mountain Ranch Road San Andreas CA 95249 |
| Mailing Address |
1805 N California Street Suite 206 Stockton CA 95204-9037 |
| Practice Telephone | 2097545374 |
| Practice Fax Number | 2097545376 |
| Mailing Telephone | 2094668011 |
| Mailing Fax Number | 2094660250 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT GEORGE MONIE (PRESIDENT) |
| Authorized Official Telephone | 2094668011 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
00G311730 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
00A45770 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
564 MOUNTAIN RANCH ROAD |
| City | SAN ANDREAS |
| State | CA |
| Zip Code | 95249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073536025 | Oakview Health Center | Radiology | 564 Mountain Ranch Road, San Andreas, CA 95249 | 2006-07-25 |
| 1598380933 | Ashley Serafina Friend | Counselor | 564 Mountain Ranch Road, San Andreas, CA 95249 | 2020-06-11 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457603664 | San Andreas Sleep Disorders Medical Group, Inc | Internal Medicine | 704 Mountain Ranch Rd, Suite 205, San Andreas, CA 95249-9707 | 2012-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANDREAS |
| Zip Code | 95249 |
Please comment or provide details below to improve the information on VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP.
| 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.