NPIMap

Organization Active NPI

San Gabriel Valley Sleep Lab, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • West Covina, CA
National Provider Identifier
1790934834
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
A38413 Issued in CA
Legal business name
SAN GABRIEL VALLEY SLEEP LAB, LLC
Practice address
421 S Glendora Ave
Suite 200
West Covina, CA 91790-3078
Phone
(626) 919-3000
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Authorized official

Name
Dr. Clyde J Dos Santos, M.D.NPI 1528166774
Title
Partner
Phone
(714) 772-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X A38413 CA Primary

Addresses

Primary practice location

421 S Glendora Ave
Suite 200
West Covina, CA 91790-3078

Mailing address

421 S Glendora Ave
Suite 200
West Covina, CA 91790-3078
Phone (626) 919-3000

National Provider Directory

National Provider Directory

Locations

421 S Glendora Ave
Ste 200
West Covina, CA 91790
Phone (626) 919-3000

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": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1790934834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 S GLENDORA AVE",
            "address_2": "SUITE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903078",
            "telephone_number": "626-919-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S GLENDORA AVE",
            "address_2": "SUITE 200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903078",
            "telephone_number": "626-919-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL VALLEY SLEEP LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "DOS SANTOS",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-772-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "A38413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.