Organization Active NPI

Renaissance Sleep Center, Inc

  • Clinical Medical Laboratory
  • Fresno, CA
National Provider Identifier
1104940121
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
RENAISSANCE SLEEP CENTER, INC
Practice address
7065 N Chestnut Ave
Suite 105
Fresno, CA 93720-0355
Phone
(559) 322-6900
Fax
(559) 322-6977
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Mr. Gagan Dang
Title
President
Phone
(559) 322-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7065 N Chestnut Ave
Suite 105
Fresno, CA 93720-0355

Mailing address

PO Box 28381
Fresno, CA 93729-8381
Phone (559) 322-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040802001361 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8820069198 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

7065 N Chestnut Ave
Ste 105
Fresno, CA 93720
Phone (559) 322-6900

5715 N West Ave
Ste 102
Fresno, CA 93711
Phone (559) 438-0800

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1104940121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28381",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937298381",
            "telephone_number": "559-322-6900",
            "fax_number": "559-322-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 N CHESTNUT AVE",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200355",
            "telephone_number": "559-322-6900",
            "fax_number": "559-322-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SLEEP CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "GAGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-322-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.