West Bay Sleep Lab

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

WEST BAY SLEEP LAB

Practice address

80 Eureka Square
Suite #218
Pacifica, CA 94044

Phone

(650) 733-7012

Fax

(650) 745-1029

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Evangeline Reyes

Title

Ceo

Phone

(650) 733-7012

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1134670730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 EUREKA SQUARE",
            "address_2": "SUITE #218",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "94044",
            "telephone_number": "650-733-7012",
            "fax_number": "650-745-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EUREKA SQUARE",
            "address_2": "SUITE #218",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "94044",
            "telephone_number": "650-733-7012",
            "fax_number": "650-745-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BAY SLEEP LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-733-7012"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "105118",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenna I Walker, RN
• Joelle Wallstrom, CMT,CMA
• Kimberley Wan
• Paul Wang, PHARM. D
• Amber Rose Waters
• Renesha Westerfield
• Ankita Seal Wheeler, M.S., CCC-SLP
• Heather Jean Whyte, LMFT
• Alan F Wilhelmi
• Willow Family Therapy Inc

• Clinical Medical Laboratory in Pacifica, CA
• Providers in Pacifica, 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 Jun 13, 2019; 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.