Individual provider Active NPI

Cheryl L Spinweber

  • Sleep Disorder Diagnostic Clinic/Center
  • La Jolla, CA
National Provider Identifier
1487772794
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
PSY6562 Issued in CA
Practice address
7946 Ivanhoe Ave Ste 209
La Jolla, CA 92037-4517
Phone
(858) 598-4205
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD) 173F00000X PSY6562 CA
Sleep Disorder Diagnostic Clinic/Center 261QS1200X PSY6562 CA Primary

Addresses

Primary practice location

7946 Ivanhoe Ave Ste 209
La Jolla, CA 92037-4517

Mailing address

PO Box 420187
San Diego, CA 92142-0187

Other practice location 1

4077 5th Ave
Sleep Disorders Center
San Diego, CA 92103-2105
Phone (619) 260-7378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110729000457 CA Practitioner - Clinical Psychologist 2365610714 Practice locations: La Jolla, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6562CAMDPediatrics Physician
PSY6562CAMDSleep Disorder Diagnostic Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Disorders Associates Sleep Disorder Diagnostic Current Accepting new patients

Locations

7946 Ivanhoe Ave
Ste 209
La Jolla, CA 92037
Phone (619) 260-7378

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1487772794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420187",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921420187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE STE 209",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374517",
            "telephone_number": "858-598-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 5th Ave",
            "address_2": "Sleep Disorders Center",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "619-260-7378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINWEBER",
        "first_name": "CHERYL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "CA",
            "license": "PSY6562",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "PSY6562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.