Provider Demographics
NPI:1922387711
Name:PULMONARY & SLEEP DISORDER CONSULTANTS INC
Entity Type:Organization
Organization Name:PULMONARY & SLEEP DISORDER CONSULTANTS INC
Other - Org Name:PULMONARY AND SLEEP DISORDER CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAITO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-495-0985
Mailing Address - Street 1:17150 EUCLID ST STE 316
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4092
Mailing Address - Country:US
Mailing Address - Phone:714-486-3996
Mailing Address - Fax:714-486-2213
Practice Address - Street 1:17150 EUCLID ST STE 316
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4092
Practice Address - Country:US
Practice Address - Phone:714-486-3996
Practice Address - Fax:714-486-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC53870207RP1001X, 207RS0012X, 208000000X, 2080P0214X, 2080S0012X, 261QS1200X
TXM20702080P0214X, 2080S0012X
2080P0214X, 261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric PulmonologyGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder DiagnosticGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140442852Medicaid
CA1922387711Medicaid
TX174521804Medicaid
CA1922387711Medicaid
8L17064Medicare PIN