San Leandro Sleep Disorders Center, Prof. Corp.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SAN LEANDRO SLEEP DISORDERS CENTER, PROF. CORP.

Practice address

13939 E 14TH St
San Leandro, CA 94578-2613

Phone

(510) 352-5470

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Robert Wu, M.D.NPI 1669574059

Title

M.D.

Phone

(510) 352-5470

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert K Wu, M. D.

  • Otolaryngology Physician
  • San Leandro, CA
  • NPI 1669574059
  NPD Authorized official
• John Ruddy, M.D.

  • Pulmonary Disease Physician
  • San Leandro, CA
  • NPI 1902890130
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1114006277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-352-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782613",
            "telephone_number": "510-352-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LEANDRO SLEEP DISORDERS CENTER, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "510-352-5470",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Victor Samelson, O.D.
• Sherwin Babadilla Samson
• Annette Samuel, PHN
• San Leandro Health Care Center, Inc.
• San Leandro Optometry GRP
• San Leandro Surgery Center
• San Leandro Surgery Center LTD
• San Leandro Unified School District
• Esther San Nicolas, DDS
• April Ann Sanchez Lerma, LCSW

• Sleep Disorder Diagnostic Clinic/Center in San Leandro, CA
• Providers in San Leandro, 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 Sep 15, 2021; 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.