Advanced Sleep Medicine Services, Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

BL00141485 Issued in CA

Legal business name

ADVANCED SLEEP MEDICINE SERVICES, INC.

Practice address

3975 Jackson Street
Suite 304
Riverside, CA 92503-3950

Phone

(877) 775-3377

Fax

(877) 855-6227

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Kermit Ray Newman

Title

Ceo/President

Phone

(877) 775-3377

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Johns Hopkins University

  • Orthopaedic Hand Surgery Physician
  • Baltimore, MD
  • NPI 1922655166

  Member Of

  NPD member

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033415211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163677",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON STREET",
            "address_2": "SUITE 304",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033950",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP MEDICINE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "877-775-3377"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "BL00141485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.