Valley Sleep Disorders Center of San Andreas Medical Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

00A45770 Issued in CA

Legal business name

VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP

Practice address

564 Mountain Ranch Road
San Andreas, CA 95249

Phone

(209) 754-5374

Fax

(209) 754-5376

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert George Monie, M.D.

Title

President

Phone

(209) 466-8011

Specialties & licenses 2

Addresses

Tax ID family

Valley Sleep Disorders Center of San Andreas Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Valley Sleep Disorders Center of San Andreas Medical Group L.P.

  • Pulmonary Disease Physician
  • Stockton, CA
  • NPI 1770791642
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417169665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA STREET",
            "address_2": "SUITE 206",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952049037",
            "telephone_number": "209-466-8011",
            "fax_number": "209-466-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 MOUNTAIN RANCH ROAD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "95249",
            "telephone_number": "209-754-5374",
            "fax_number": "209-754-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SLEEP DISORDERS CENTER OF SAN ANDREAS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONIE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-466-8011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00G311730",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00A45770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wyatt Everett Trammell, CADC-CAS, SUDDC
• Stephanie Raquel Tunchez
• Jason Turzai
• Nathan Michael Valentine, MA
• Rita Valladao
• John Brian Vandyck, REV.
• Diane Vickerman
• Amelia Vongphairoth
• Lisa Voorhees, PH.D.
• Codi N Walker

• Pulmonary Disease Physician in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Pulmonary Disease Physician 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.