Organization Active NPI

South Pacific Sleep Lab, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Encino, CA
National Provider Identifier
1619306453
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SOUTH PACIFIC SLEEP LAB, INC.
Practice address
5435 Balboa Blvd Ste 110
Encino, CA 91316-1566
Phone
(818) 701-8771
Fax
(818) 812-9032
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Authorized official

Name
Mr. Damoon J. Navarchi Sr.
Title
Ceo
Phone
(310) 999-1887

Specialties & licenses 1

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

Addresses

Primary practice location

5435 Balboa Blvd Ste 110
Encino, CA 91316-1566

Mailing address

19582 Ventura Blvd Ste 132
Tarzana, CA 91356-2917
Phone (818) 701-8771

National Provider Directory

National Provider Directory

Locations

19582 Ventura Blvd
Ste 132
Tarzana, CA 91356

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513296000000",
    "number": "1619306453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19582 VENTURA BLVD STE 132",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "818-701-8771",
            "fax_number": "818-812-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BALBOA BLVD STE 110",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161566",
            "telephone_number": "818-701-8771",
            "fax_number": "818-812-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PACIFIC SLEEP LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2017-12-15",
        "status": "A",
        "authorized_official_last_name": "NAVARCHI",
        "authorized_official_first_name": "DAMOON",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-999-1887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.