Calaveras Sleep Diagnostics, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

CALAVERAS SLEEP DIAGNOSTICS, LLC

Practice address

700 Mountain Ranch Rd # A2
San Andreas, CA 95249-9785

Phone

(209) 497-4830

Fax

(209) 497-4888

NPI assigned

May 21, 2018

Last updated

May 21, 2018By 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

Jeffrey C Flynn

Title

Member

Phone

(209) 217-2973

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1235620832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNTAIN RANCH RD # A2",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499785",
            "telephone_number": "209-497-4830",
            "fax_number": "209-497-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNTAIN RANCH RD # A2",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499785",
            "telephone_number": "209-497-4830",
            "fax_number": "209-497-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALAVERAS SLEEP DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "209-217-2973"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Renee Burke
• Samantha Jolene Bush, LMFT
• Calaveras County (Calaveras County Behavioral Health Children)
• Calaveras County Substance Abuse Program
• Calaveras Emergency Physicians,
• Calaveras Unified School District
• Leslie Calestini
• California Em-I Medical Services, a Medical Corporation
• Rebecca Carrillo, M.D.
• Rea Carroll

• Sleep Disorder Diagnostic Clinic/Center in San Andreas, CA
• Providers in San Andreas, 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 May 21, 2018; 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.