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SAN ANDREAS SLEEP DISORDERS MEDICAL GROUP INC NPI 1457603664


NPI Information

NPI: 1457603664
Provider Name: SAN ANDREAS SLEEP DISORDERS MEDICAL GROUP, INC

Doing Business As: SAN ANDREAS SLEEP CENTER

Classification: Internal Medicine - 207RS0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
704 MOUNTAIN RANCH RD
SUITE 205
SAN ANDREAS, CA
ZIP 95249
Phone: (209) 754-5374
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SAN ANDREAS SLEEP DISORDERS MEDICAL GROUP, INC is a sleep medicine internal medicine in San Andreas, 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. SAN ANDREAS SLEEP DISORDERS MEDICAL GROUP, INC NPI is 1457603664. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As San Andreas Sleep Center.

The provider's business location address is:

704 MOUNTAIN RANCH RD
SUITE 205
SAN ANDREAS, CA
ZIP 95249-707
Phone: (209) 754-5374
Fax: (209) 754-5376

The provider's authorized official is Stacy Ann Joyner .
The authorized official title is Office Manager and has the following contact phone number (209) 754-5374.

The enumeration date for this NPI number is 10/11/2012 and was last updated on 12/24/2013.


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
1207RP1001XInternal MedicinePulmonary DiseaseA45770CALIFORNIANo
2207RS0012XInternal MedicineSleep MedicineA101134CALIFORNIANo
3207RS0012XInternal MedicineSleep MedicineA56143CALIFORNIANo
4207RS0012XInternal MedicineSleep MedicineA45770CALIFORNIAYes

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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