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PENINSULA SLEEP CENTER INC NPI 1407808579


NPI Information

NPI: 1407808579
Provider Name: PENINSULA SLEEP CENTER INC
Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

CLIA Number: 05D2271204

Address:
1720 EL CAMINO REAL
SUITE 150
BURLINGAME, CA
ZIP 94010
Phone: (650) 697-7079
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PENINSULA SLEEP CENTER INC is a sleep medicine internal medicine in Burlingame, CA. The provider is an Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. PENINSULA SLEEP CENTER INC NPI is 1407808579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1720 EL CAMINO REAL
SUITE 150
BURLINGAME, CA
ZIP 94010-224
Phone: (650) 697-7079
Fax: (650) 697-5845

The provider's authorized official is Mehran Farid-moayer .
The authorized official title is Ceo and has the following contact phone number (650) 696-2415.

The CLIA number assigned to this NPI record is 05D2271204 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 5/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0012XInternal MedicineSleep MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ01601ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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