Premier Diagnostics Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PREMIER DIAGNOSTICS INC

Practice address

1851 Holser Walk
Suite 210
Oxnard, CA 93036-2626

Phone

(805) 485-2633

Fax

(805) 485-6650

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Curtis Harris, RCP RRT

Title

Administrative Director

Phone

(805) 485-2633

Specialties & licenses 1

Addresses

Other names 1

• Premier Diagnostics Sleep Disorder Clinic Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174635361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 HOLSER WALK",
            "address_2": "SUITE 210",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362626",
            "telephone_number": "805-485-2633",
            "fax_number": "805-485-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 HOLSER WALK",
            "address_2": "SUITE 210",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362626",
            "telephone_number": "805-485-2633",
            "fax_number": "805-485-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "805-485-2633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP RRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Diagnostics Sleep Disorder Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Teri Prater
• Krista Michelle Pratt
• Juana Y Preciado, LVN
• Pauline Baldueza Preciado, RN
• Lisa Anne Preis
• Premier Orthodontic Specialists
• Premise Health of California Medical PC
• Kimberly Prendergast, LMFT
• Camille Price
• Robert Marshall Price Jr., PHARM D

• Sleep Disorder Diagnostic Clinic/Center in Oxnard, CA
• Providers in Oxnard, 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 Aug 22, 2020; 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.