Pediatric Sleep, Adoption and Development Clinic, Inc.

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

PEDIATRIC SLEEP, ADOPTION AND DEVELOPMENT CLINIC, INC.

Practice address

4902 Irvine Center Dr Ste 104
Irvine, CA 92604-3334

Phone

(949) 446-8990

Fax

(949) 446-8535

NPI assigned

Mar 11, 2008

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Steven Feldman, M.D.NPI 1891715009

Title

Medical Director

Phone

(562) 424-4815

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Steven Feldman, M.B.CHB

  • Sleep Medicine (Family Medicine) Physician
  • Irvine, CA
  • NPI 1891715009

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Robert A Lebby, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Aliso Viejo, CA
  • NPI 1457344129
  Medicare reassignment Care Compare group NPD
• Colleen Daniel, PSYD

  • Clinical Psychologist
  • Laguna Hills, CA
  • NPI 1982803557
  NPD
• Katherine Yamauchi, PSYD

  • Clinical Psychologist
  • Irvine, CA
  • NPI 1578087656
  NPD
• Arthur Brian Davis, MD, Facs, Inc, M.D.

  • Specialist
  • Irvine, CA
  • NPI 1053323873
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1740450378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12315",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928598315",
            "telephone_number": "562-424-4815",
            "fax_number": "562-424-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 104",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-446-8990",
            "fax_number": "949-446-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Elm Ave",
            "address_2": "SUITE 301",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061651",
            "country_code": "US",
            "telephone_number": "562-424-4815",
            "fax_number": "562-424-4708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Mareblu Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926563044",
            "country_code": "US",
            "telephone_number": "949-446-8990",
            "fax_number": "949-446-8535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC SLEEP, ADOPTION AND DEVELOPMENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-424-4815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A866560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Family Medicine) Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Sleep Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.