Eastlake Sleep Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

EASTLAKE SLEEP CENTER

Practice address

841 Kuhn Dr
Ste#201
Chula Vista, CA 91914-3552

Phone

(619) 623-3822

Fax

(619) 623-3824

NPI assigned

Jun 4, 2006

Last updated

Aug 22, 2020By 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. Jose A. Lira, M.D.NPI 1356319446

Title

President

Phone

(619) 623-3822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Jose A. Lira, M.D.

  • Pulmonary Disease Physician
  • Chula Vista, CA
  • NPI 1356319446
  NPD Authorized official
• John F Perri, D.O.

  • Pulmonary Disease Physician
  • San Diego, CA
  • NPI 1770557704
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801834312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 KUHN DR",
            "address_2": "STE#201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143552",
            "telephone_number": "619-623-3822",
            "fax_number": "619-623-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 KUHN DR",
            "address_2": "STE#201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143552",
            "telephone_number": "619-623-3822",
            "fax_number": "619-623-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTLAKE SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIRA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-623-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Lake Family Dentistry
• East Lake Medical, LLC
• Eastlake Family Medical Inc.
• Eastlake Laser Eye Associates
• Eastlake Optometry Inc.
• Eastlake Surgery Center
• Eastlake Urgent Care a Professional Medical Corporation
• Eastlake Urgent Care LLC
• Michael Eaton, PT
• Myra Kurtz Ebeling, RD

• Sleep Disorder Diagnostic Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center 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.
• 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.