SAN GABRIEL VALLEY SLEEP LAB, LLC (NPI# 1790934834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790934834 |
| Entity Type | Organization |
| Organization Name | SAN GABRIEL VALLEY SLEEP LAB, LLC |
| Practice Address |
421 S Glendora Ave Suite 200 West Covina CA 91790-3078 |
| Practice Telephone | 6269193000 |
| Mailing Telephone | 6269193000 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | DR. CLYDE J DOS SANTOS (PARTNER) |
| Authorized Official Telephone | 7147728282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
A38413 | CA | Ambulatory Health Care Facilities |
| Street Address |
421 S GLENDORA AVE SUITE 200 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316297864 | Jacqueline Ortega | Marriage & Family Therapist | 421 S Glendora Ave, West Covina, CA 91790-3078 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225301419 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 1250 S Sunset Ave Ste 101, West Covina, CA 91790 | 2012-02-17 |
| 1790059053 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 1250 S Sunset Ave, Suite 303 B, West Covina, CA 91790 | 2012-03-05 |
| 1194025858 | Pacific Sleep Medicine, A Medical Corp | Clinic/Center | 1135 S Sunset Ave, Suite 307, West Covina, CA 91790-3937 | 2010-10-28 |
| 1932288685 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 1250 S Sunset Ave, Ste 303-b, West Covina, CA 91790-3961 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1417578477 | Somnology Inc | Clinic/Center | 493 Seaport Ct, Redwood City, CA 94063-2787 | 2020-04-30 |
| 1457986986 | Got Sleep Inc | Clinic/Center | 9497 N Fort Washington Rd Ste 103, Fresno, CA 93730-0606 | 2020-03-04 |
| 1568095420 | Pasadena Neuro Center Inc | Clinic/Center | 1345 Riviera Dr, Pasadena, CA 91107-1659 | 2020-02-19 |
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1073155735 | Nisha Kohli | Clinic/Center | 24321 Bay Laurel Ave, Murrieta, CA 92562-2163 | 2019-10-15 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1760038145 | Priority Sleep Centers, LLC | Clinic/Center | 7965 Vineyard Ave Ste F7, Rancho Cucamonga, CA 91730-2313 | 2019-08-12 |
| 1912559741 | San Francisco Sleep, LLC | Clinic/Center | 2001 Union St Ste 250, San Francisco, CA 94123-4107 | 2019-07-11 |
| 1295397156 | Sky Sleep Lab Inc. | Clinic/Center | 16661 Ventura Blvd Ste 213, Encino, CA 91436-1940 | 2019-07-01 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.