Sleep Clinic of Northern California

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23869 Issued in CA

Legal business name

SLEEP CLINIC OF NORTHERN CALIFORNIA

Practice address

999 Story Road
Suite 9021
San Jose, CA 95122-4604

Phone

(408) 535-6900

Fax

(408) 535-6901

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Tri Anh Duong, RRTNPI 1093327850

Title

Clinical Director

Phone

(408) 535-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vu a Tran, MD Medical Corporation

  • Sleep Disorder Diagnostic Clinic/Center
  • Santa Rosa, CA
  • NPI 1942338850

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tri Duong, RRT

  • Registered Respiratory Therapist
  • San Jose, CA
  • NPI 1093327850
  NPD Authorized official
• Vu Anh Tran

  • Sleep Medicine (Internal Medicine) Physician
  • Santa Rosa, CA
  • NPI 1528021490

  CA

  Medicare reassignment
• Minh Anh Luong Maina

  • Physician Assistant
  • Loma Linda, CA
  • NPI 1073165320
  NPD
• Dan Van Dang, M.D.

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1639351125
  NPD (past)

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1457798019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 STORY ROAD",
            "address_2": "SUITE 9021",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224604",
            "telephone_number": "408-535-6900",
            "fax_number": "408-535-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 STORY ROAD",
            "address_2": "SUITE 9021",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224604",
            "telephone_number": "408-535-6900",
            "fax_number": "408-535-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CLINIC OF NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "TRI",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "408-535-6900",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "23869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457798019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Slattery
• Taylor Slaughterbeck
• Paul Anthony Slaviero
• Amberlynn Slavin, OTR/L
• Elinor Slayer, LMFT
• Sleep Medicine and Neurology a Professional Corporation
• Sleep Well Acupuncture, Inc
• Sleep Well Cpap Services, LLC
• Joshua Sleeper, BCBA
• Sleepmed of California

• Clinical Medical Laboratory in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.