Organization Active NPI

South Coast Sleep Solutions LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Trabuco Canyon, CA
National Provider Identifier
1154919884
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SOUTH COAST SLEEP SOLUTIONS LLC
Practice address
32131 Fall River Rd
Trabuco Canyon, CA 92679-3316
Phone
(949) 317-6663
Fax
(877) 935-8609
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Michelle Marie Lucus
Title
Owner
Phone
(949) 317-6663

Specialties & licenses 1

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

Addresses

Primary practice location

32131 Fall River Rd
Trabuco Canyon, CA 92679-3316

Mailing address

32131 Fall River Rd
Trabuco Canyon, CA 92679-3316
Phone (949) 317-6663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1154919884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32131 FALL RIVER RD",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793316",
            "telephone_number": "949-317-6663",
            "fax_number": "877-935-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32131 FALL RIVER RD",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793316",
            "telephone_number": "949-317-6663",
            "fax_number": "877-935-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST SLEEP SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "LUCUS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-317-6663"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.