Active NPI
Renaissance Sleep Center, Inc
- Clinical Medical Laboratory
- Fresno, CA
National Provider Identifier
1104940121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040802001361 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8820069198 | Practice locations: Fresno, CA |
National Provider Directory
National Provider DirectoryLocations
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.