Organization Active NPI

Pacific Sleep Labs, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • San Clemente, CA
National Provider Identifier
1255431219
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PACIFIC SLEEP LABS, INC.
Practice address
161 Avenida Vaquero
San Clemente, CA 92672-3601
Phone
(949) 366-2701
Fax
(949) 429-6918
NPI assigned
Sep 22, 2006
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Inchel Yeam, MD
Title
Owner
Phone
(949) 366-2701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X G075362 CA
Sleep Disorder Diagnostic Clinic/Center 261QS1200X CA Primary

Addresses

Primary practice location

161 Avenida Vaquero
San Clemente, CA 92672-3601

Mailing address

161 Avenida Vaquero
San Clemente, CA 92672-3601
Phone (949) 366-2701

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1255431219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 AVENIDA VAQUERO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723601",
            "telephone_number": "949-366-2701",
            "fax_number": "949-429-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 AVENIDA VAQUERO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723601",
            "telephone_number": "949-366-2701",
            "fax_number": "949-429-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SLEEP LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "YEAM",
        "authorized_official_first_name": "INCHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-366-2701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "G075362",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.