NPIMap

Organization Active NPI

SD Diagnostics Inc

Doing business as BetterNight Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • San Diego, CA
National Provider Identifier
1003252834
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SD DIAGNOSTICS INC
Doing business as
BetterNight Medical Group
Sleep Data Diagnostics
Practice address
5471 Kearny Villa Rd
Ste 202
San Diego, CA 92123-1105
Phone
(619) 299-6299
Fax
(619) 299-6222
NPI assigned
May 20, 2013
Last updated
Aug 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward Tracy Sall, MD, DDSNPI 1710961198
Title
Ao
Phone
(619) 299-6299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

5471 Kearny Villa Rd
Ste 202
San Diego, CA 92123-1105

Mailing address

5471 Kearny Villa Rd Ste 202
San Diego, CA 92123-1141
Phone (619) 299-6299

Other names 2

  • BetterNight Medical Group Doing business as
  • Sleep Data Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312001772 CA Part B Supplier - Clinic/Group Practice 3870723950 Receives reassigned benefits from 7 practitioners
Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Betternight Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5471 Kearny Villa Rd
Ste 202
San Diego, CA 92123
Phone (619) 279-6615

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1003252834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231141",
            "telephone_number": "619-299-6299",
            "fax_number": "619-299-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD",
            "address_2": "STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231105",
            "telephone_number": "619-299-6299",
            "fax_number": "619-299-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "SALL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "TRACY",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "619-299-6299",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BetterNight Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sleep Data Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.