Organization Active NPI

Pacific Sleep Tech Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Aiea, HI
National Provider Identifier
1740433002
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Oct 30, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
W27301992-01OtherHIGET LICENSE

Other names 1

  • SLEEP DISORDER CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.