Elite Sleep Institute, LLC

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

Legal business name

ELITE SLEEP INSTITUTE, LLC

Practice address

12264 El Camino Real Ste 303
San Diego, CA 92130-3062

Phone

(760) 844-2331

NPI assigned

Nov 3, 2017

Organization subpart

No

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

Authorized official

Name

Thomas Anthony Dacquisto

Title

Founder

Phone

(760) 844-2331

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1215449806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303062",
            "telephone_number": "760-844-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL STE 303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303062",
            "telephone_number": "760-844-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SLEEP INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "DACQUISTO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "760-844-2331"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Specialist (PhD) in San Diego, CA
• Providers in San Diego, CA by specialty
• Sleep Specialist (PhD) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.