Lucid Sleep Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

LUCID SLEEP INC.

Practice address

313 E Buena Vista St
Suite 100
Barstow, CA 92311-2801

Phone

(877) 995-8243

Fax

(877) 995-8253

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mikael Enevoldsen, RPSGT

Title

Ceo

Phone

(877) 995-8243

Specialties & licenses 1

Addresses

Tax ID family

Lucid Sleep Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lucid Sleep Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1467614602
  NPD tax ID
• Lucid Sleep Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Victorville, CA
  • NPI 1497922025
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheila Kaur Manhas, M.D.

  • Neurology Physician
  • Sun Valley, CA
  • NPI 1174584965
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235206673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 FOOTHILL BLVD",
            "address_2": "SUITE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303154",
            "telephone_number": "877-995-8243",
            "fax_number": "877-995-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E BUENA VISTA ST",
            "address_2": "SUITE 100",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112801",
            "telephone_number": "877-995-8243",
            "fax_number": "877-995-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCID SLEEP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENEVOLDSEN",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-995-8243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lopez
• Nayeli Lopez
• Simon Lopez, ACSW
• Ronsha Love
• LSS Community Care Center
• Amber Lucy
• Jorge Giovanni Luna
• Lutheran Social Services of Southern California
• Lutheran Social Services Southern California
• Rhonda Sue Lystra

• Sleep Disorder Diagnostic Clinic/Center in Barstow, CA
• Providers in Barstow, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.