Pulmonary Function Testing & Diagnostics

Primary specialty

Pulmonary Function Technologist Registered Respiratory TherapistTaxonomy code 2279P1006X

License

22729 Issued in CA

Legal business name

PULMONARY FUNCTION TESTING & DIAGNOSTICS

Practice address

27821 Barbate
Mission Viejo, CA 92692-1230

Phone

(949) 444-6917

Fax

(949) 421-3196

NPI assigned

Jul 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Thomas David Clevenger, RRTNPI 1386177319

Title

Owner

Phone

(949) 444-6917

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas David Clevenger, RRT

  • Registered Respiratory Therapist
  • Mission Viejo, CA
  • NPI 1386177319
  NPD (past) Authorized official

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902328115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27821 BARBATE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921230",
            "telephone_number": "949-444-6917",
            "fax_number": "949-421-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27821 BARBATE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921230",
            "telephone_number": "949-444-6917",
            "fax_number": "949-421-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY FUNCTION TESTING & DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-444-6917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "2279P1006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "CA",
            "license": "22729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Respiratory Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Registered Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.