NPIMap

Organization Active NPI

Serenity Sleep & Neurodiagnostics, Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Irvine, CA
National Provider Identifier
1083851729
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
15262 Issued in CA
Legal business name
SERENITY SLEEP & NEURODIAGNOSTICS, INC
Practice address
4902 Irvine Center Dr
#101
Irvine, CA 92604-3305
Phone
(949) 263-4698
Fax
(866) 594-4485
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Julie Dewitte, RPSGT, RCP
Title
Cfo
Phone
(949) 584-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 15262 CA Primary

Addresses

Primary practice location

4902 Irvine Center Dr
#101
Irvine, CA 92604-3305

Mailing address

27758 Santa Margarita Pkwy
#419
Mission Viejo, CA 92691-6709
Phone (949) 584-1014

National Provider Directory

National Provider Directory
Tax ID family
Serenity Sleep and Neurodiagnostics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1083851729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY",
            "address_2": "#419",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "949-584-1014",
            "fax_number": "866-594-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR",
            "address_2": "#101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043305",
            "telephone_number": "949-263-4698",
            "fax_number": "866-594-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY SLEEP & NEURODIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "DEWITTE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-584-1014",
        "authorized_official_credential": "RPSGT, RCP"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "15262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.