Organization Active NPI

Premier Sleep Alliance

  • Dentist
  • Thousand Oaks, CA
National Provider Identifier
1952714966
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49978 Issued in CA
Legal business name
PREMIER SLEEP ALLIANCE
Practice address
361 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5805
Phone
(805) 468-7533
Fax
(805) 497-9914
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Dar Radfar, DDSNPI 1780803817
Title
Owner
Phone
(805) 468-7533

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 49978 CA Primary

Addresses

Primary practice location

361 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5805

Mailing address

361 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5805
Phone (805) 468-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140827002384 CA DME Supplier - Oral Surgery - Dentist 9335367689 Practice locations: Thousand Oaks, CA

National Provider Directory

National Provider Directory

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": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1952714966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605805",
            "telephone_number": "805-468-7533",
            "fax_number": "805-497-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605805",
            "telephone_number": "805-468-7533",
            "fax_number": "805-497-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SLEEP ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "RADFAR",
        "authorized_official_first_name": "DAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-468-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.