Monterey Bay Sleep Center, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

261QS12000X Issued in CA

Legal business name

MONTEREY BAY SLEEP CENTER, LLC

Practice address

60 Garden Court Suite 250
Monterey, CA 93940

Phone

(831) 920-1411

Fax

(831) 920-1452

NPI assigned

Jul 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Koostra, MD

Title

Partner

Phone

(831) 920-1411

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1003290040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GARDEN COURT SUITE 250",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-920-1411",
            "fax_number": "831-920-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GARDEN COURT SUITE 250",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "93940",
            "telephone_number": "831-920-1411",
            "fax_number": "831-920-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY BAY SLEEP CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "KOOSTRA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "831-920-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "261QS12000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "XXXX",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monterey Bay Observation Medicine
• Monterey Bay Oncology
• Monterey Bay Oncology a Medical Corporation
• Monterey Bay Orthopaedic Specialists Inc
• Monterey Bay Pacific Physical Therapy Inc.
• Monterey Counseling Center
• Monterey County Behavioral Health Monterey Children'S Services
• Monterey Dental Contours
• Monterey Dental Contours Richard E. Kent Dental Group, Inc
• Monterey Diagnostic Imaging Center, LLC

• Sleep Disorder Diagnostic Clinic/Center in Monterey, CA
• Providers in Monterey, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.