Organization Active NPI

Wilbur Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Reseda, CA
National Provider Identifier
1821512716
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
WILBUR SLEEP CENTER
Practice address
18905 Sherman Way Ste 200
Reseda, CA 91335-2600
Phone
(818) 578-3240
Fax
(818) 858-1803
NPI assigned
Aug 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Mr. Kaveh Khast
Title
Manager
Phone
(619) 250-7620

Specialties & licenses 1

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

Addresses

Primary practice location

18905 Sherman Way Ste 200
Reseda, CA 91335-2600

Mailing address

18905 Sherman Way Ste 200
Reseda, CA 91335-2600
Phone (818) 578-3240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1821512716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18905 SHERMAN WAY STE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352600",
            "telephone_number": "818-578-3240",
            "fax_number": "818-858-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18905 SHERMAN WAY STE 200",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352600",
            "telephone_number": "818-578-3240",
            "fax_number": "818-858-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR SLEEP CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "KHAST",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-250-7620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.