Organization Active NPI

Therapeutic Sleep Lab of Riverside

  • Clinical Medical Laboratory
  • Moreno Valley, CA
National Provider Identifier
1679743686
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THERAPEUTIC SLEEP LAB OF RIVERSIDE
Practice address
11401 Heacock St
Suite 340
Moreno Valley, CA 92557-7908
Phone
(877) 836-8227
Fax
(951) 243-9444
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Mr. Samuel Angel Montes, RCP
Title
Ceo/Respiratory Therapist
Phone
(877) 836-8227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CA Primary

Addresses

Primary practice location

11401 Heacock St
Suite 340
Moreno Valley, CA 92557-7908

Mailing address

11401 Heacock St
Suite 340
Moreno Valley, CA 92557-7908
Phone (877) 836-8227

National Provider Directory

National Provider Directory

Locations

11401 Heacock St
Ste 340
Moreno Valley, CA 92557
Phone (877) 836-8227

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1679743686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 HEACOCK ST",
            "address_2": "SUITE 340",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577908",
            "telephone_number": "877-836-8227",
            "fax_number": "951-243-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 HEACOCK ST",
            "address_2": "SUITE 340",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577908",
            "telephone_number": "877-836-8227",
            "fax_number": "951-243-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SLEEP LAB OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "CEO/RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "877-836-8227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.