Provider Demographics
NPI:1205932555
Name:EAST BAY SLEEP MEDICAL CENTER
Entity type:Organization
Organization Name:EAST BAY SLEEP MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRITKUMAR
Authorized Official - Middle Name:B
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-670-0246
Mailing Address - Street 1:27001 CALAROGA AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-4345
Mailing Address - Country:US
Mailing Address - Phone:510-670-0246
Mailing Address - Fax:510-670-2968
Practice Address - Street 1:27001 CALAROGA AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4345
Practice Address - Country:US
Practice Address - Phone:510-670-0246
Practice Address - Fax:510-670-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A352773OtherMEDICARE ID
CA00A352770Medicaid
CAZZZ25341ZMedicare PIN
CA00A352773OtherMEDICARE ID