Sleep Diagnostic Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1257901 Issued in CA

Legal business name

SLEEP DIAGNOSTIC CENTER

Practice address

2876 Sycamore Dr Ste 301B
Simi Valley, CA 93065-1550

Phone

(805) 578-3939

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Mike Berry

Title

President

Phone

(805) 578-3939

Specialties & licenses 1

Addresses

Tax ID family

Sleep Diagnostic Center2 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.

• Sleep Diagnostic Center, LLC.

  • Registered Respiratory Therapist
  • Simi Valley, CA
  • NPI 1760511109
  NPD tax ID

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679780787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55725",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914130725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DR STE 301B",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651550",
            "telephone_number": "805-578-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-578-3939"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "1257901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmanan Sivasundaram
• SJ Summerlyn, Inc
• Christopher Dionicio Skor, RN, MICN, BSN
• James Anthony Skor II, PTA
• Skyview Hospice Inc
• Sleep Diagnostic Center, LLC.
• Tanya Small
• Krista Smith
• Nicholas Smith, DPT
• Toni Lynn Smith

• Clinical Medical Laboratory in Simi Valley, CA
• Providers in Simi Valley, 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 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.