MOONLIGHT SLEEP LABS, LLC (NPI# 1861472128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861472128 |
| Entity Type | Organization |
| Organization Name | MOONLIGHT SLEEP LABS, LLC |
| Practice Address |
5363 Balboa Blvd Suite 121 Encino CA 91316-2805 |
| Practice Telephone | 8183850077 |
| Practice Fax Number | 8183850987 |
| Mailing Telephone | 8183850077 |
| Mailing Fax Number | 8183850987 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-10-21 |
| Authorized Official Name | MRS. ERIKA PASKHOVER (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8183850077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | IDTF00310 | 05 | |
| CA | BLUE SHIELD | ZZZ08189Z | 01 |
| Street Address |
5363 BALBOA BLVD SUITE 121 |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-2805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083692800 | Daniel M Silver | Orthopaedic Surgery | 5363 Balboa Blvd, Suite 445a, Encino, CA 91316-2844 | 2006-01-03 |
| 1780137430 | Zaghi Md, A Professional Corporation | Behavioral Analyst | 5363 Balboa Blvd, Ste 446, Encino, CA 91316-2805 | 2016-07-29 |
| 1003369000 | Always Right Inc | Clinic/Center | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2016-07-27 |
| 1023407947 | West Valley Endodontic Dental Group | Dentist | 5363 Balboa Blvd, Suite 534, Encino, CA 91316-2805 | 2015-01-15 |
| 1538574868 | Encino Orthodontics | Dentist | 5363 Balboa Blvd, Suite 328, Encino, CA 91316-2805 | 2014-06-25 |
| 1396049201 | Ted D Evans | Psychologist | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2011-01-06 |
| 1518285410 | Meredith Rimmer | Psychologist | 5363 Balboa Blvd, Suite 436, Encino, CA 91316-2805 | 2010-05-17 |
| 1154652113 | Breastlink Medical Group Inc | Surgery | 5363 Balboa Blvd, Suite 100, Encino, CA 91316-2805 | 2010-01-14 |
| 1093048365 | Bruce B Becker Md A Medical Corporation | Ophthalmology | 5363 Balboa Blvd, 246, Encino, CA 91316-2805 | 2009-09-17 |
| 1477720613 | Synergy Hematology Oncology Medical Associates, Inc. | Specialist | 5363 Balboa Blvd, Suite 345., Encino, CA 91316-2805 | 2008-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1619306453 | South Pacific Sleep Lab, Inc. | Clinic/Center | 5435 Balboa Blvd Ste 110, Encino, CA 91316-1566 | 2013-11-02 |
| 1578809380 | Apple Medical | Clinic/Center | 16838 Clark Street, Suite A, Encino, CA 91436 | 2012-12-26 |
| 1548254659 | Advanced Sleep Medicine Services Inc | Clinic/Center | 16260 Ventura Blvd, Suite 700, Encino, CA 91436-2203 | 2005-09-02 |
| 1851925663 | West California Medical Center Apc | Clinic/Center | 16661 Ventura Blvd Ste 213, Encino, CA 91436-1940 | 2020-03-02 |
| 1659915023 | Dream Sleep Lab Inc. | Clinic/Center | 16661 Ventura Blvd Ste 213, Encino, CA 91436-1940 | 2019-10-29 |
| 1932659547 | Advanced Sleep Medicine Services, Inc. | Clinic/Center | 5400 Balboa Blvd, Ste 126, Encino, CA 91316-1502 | 2016-10-06 |
| 1003369000 | Always Right Inc | Clinic/Center | 5363 Balboa Blvd, Encino, CA 91316-2805 | 2016-07-27 |
| 1003259359 | All Care Sleep Center, Inc. | Clinic/Center | 5535 Balboa Blvd, Suite 227, Encino, CA 91316-1516 | 2013-04-16 |
| Find all providers in ENCINO | ||||
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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.