FOUNTAIN VALLEY REGIONAL SLEEP CENTER


Address: 17150 Euclid St Ste 300, Fountain Valley, CA 92708-4092
Phone: 7144275900

FOUNTAIN VALLEY REGIONAL SLEEP CENTER (NPI# 1760650857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760650857
Entity Type Organization
Organization Name FOUNTAIN VALLEY REGIONAL SLEEP CENTER
Other Organization Name FOUNTAIN VALLEY REGIONAL SLEEP CENTER
Practice Address 17150 Euclid St Ste 300
Fountain Valley
CA 92708-4092
Practice Telephone 7144275900
Practice Fax Number 7144275907
Mailing Telephone 7144275900
Mailing Fax Number 7144275907
Enumeration Date 2008-02-12
Last Update Date 2018-05-07
Authorized Official Name MR. ANDREW LAWRENCE ARAMBULA (PRESIDENT & CEO)
Authorized Official Telephone 7144275900
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory CA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CA BUSINESS TAX CERTIFICATE 007413 01

Other Provider/Organization Names

Other Name Type Code
Fountain Valley Regional Sleep Center Other Name - Individual/Organization

Office Location

Street Address 17150 EUCLID ST STE 300
City FOUNTAIN VALLEY
State CA
Zip Code 92708-4092

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114200342 Sleep & Research Center of Fountain Valley Physiological Laboratory 11190 Warner Ave, Suite 401, Fountain Valley, CA 92708-4019 2011-09-23
1114081163 Cardio Data Physiological Laboratory 17150 Euclid St Ste 306, Fountain Valley, CA 92708-4092 2006-12-21

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1427510627 Stockton Sleep Center Inc Physiological Laboratory 1545 Saint Marks Plaza, Suite 2, Stockton, CA 95207 2019-04-05
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1447731948 Fountain Valley Regional Sleep Center LLC Physiological Laboratory 24953 Paseo De Valencia Ste 3a, Laguna Hills, CA 92653-4342 2018-08-23
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Competitor

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City FOUNTAIN VALLEY
Zip Code 92708

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Dataset Information

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.

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