Active NPI
Pacific Sleep Tech Inc
- Sleep Disorder Diagnostic Clinic/Center
- Aiea, HI
National Provider Identifier
1740433002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- PACIFIC SLEEP TECH INC
- Practice address
- 98-1247 Kaahumanu St Ste 106
Aiea, HI 96701-5310 - Phone
- (808) 531-7878
- Fax
- (808) 531-7829
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose D Reque
- Title
- President
- Phone
- (808) 531-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
98-1247 Kaahumanu St Ste 106
Aiea, HI 96701-5310
Mailing address
98-1247 Kaahumanu St Ste 106
Aiea, HI 96701-5310
Phone (808) 531-7878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W27301992-01 | Other | HI | GET LICENSE |
Other names 1
- SLEEP DISORDER CENTER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091209000322 | HI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9638218373 | Practice locations: Hilo, HI |
| O20100423000423 | HI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 9638218373 | Practice locations: Aiea, HI |
National Provider Directory
National Provider DirectoryLocations
98-1247 Kaahumanu St
Ste 111
Aiea, HI 96701
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Novato, CA
- NPI 1407032824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225324800000",
"number": "1740433002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1247 KAAHUMANU ST STE 106",
"city": "AIEA",
"state": "HI",
"postal_code": "967015310",
"telephone_number": "808-531-7878",
"fax_number": "808-531-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1247 KAAHUMANU ST STE 106",
"city": "AIEA",
"state": "HI",
"postal_code": "967015310",
"telephone_number": "808-531-7878",
"fax_number": "808-531-7829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC SLEEP TECH INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-30",
"last_updated": "2008-10-30",
"status": "A",
"authorized_official_last_name": "REQUE",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-531-7878",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GET LICENSE",
"identifier": "W27301992-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SLEEP DISORDER CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.