Sierra Diagnostic Sleep Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

168800 Issued in CA

Legal business name

SIERRA DIAGNOSTIC SLEEP LAB

Practice address

235 Gaucho CT
Templeton, CA 93465-5442

Phone

(805) 835-1894

Fax

(805) 434-3171

NPI assigned

Feb 12, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Shelly Ann Roberson, RESPIRATORY

Title

Owner General Partner

Phone

(805) 835-1894

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297468800000",
    "number": "1013214915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GAUCHO CT",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655442",
            "telephone_number": "805-835-1894",
            "fax_number": "805-434-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GAUCHO CT",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655442",
            "telephone_number": "805-835-1894",
            "fax_number": "805-434-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA DIAGNOSTIC SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-12",
        "last_updated": "2011-02-12",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER GENERAL PARTNER",
        "authorized_official_telephone_number": "805-835-1894",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RESPIRATORY"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "168800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad A. Shah, M.D.
• Kenneth L. Shapiro, M.D.
• Anthony William Sheplay, MD
• Denise Favreau Shipley, PTA
• Adriana Velez Shofner, RNFA
• Stephen Tracy Sigmund, MD
• William F Sima, MD INC
• Myint T Singh, M.D.
• Sleepmed of California
• Sleepmed of California Inc

• Clinical Medical Laboratory in Templeton, CA
• Providers in Templeton, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.