Organization Active NPI

Sleepmed of California, Inc.

Doing business as BioSerenity

  • Sleep Disorder Diagnostic Clinic/Center
  • Manteca, CA
National Provider Identifier
1063420800
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEPMED OF CALIFORNIA, INC.
Doing business as
BioSerenity
Practice address
1660 W Yosemite Ave
Suite 2a
Manteca, CA 95337
Phone
(209) 239-3402
Fax
(209) 239-3678
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Steven Russell
Title
Cfo
Phone
(770) 330-7836

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1660 W Yosemite Ave
Suite 2a
Manteca, CA 95337

Mailing address

99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400

Other identifiers 2

IdentifierTypeStateIssuer
7618325OtherCAAETNA
ZZZ06442ZOtherCABLUE SHIELD CA

Other names 1

  • BioSerenity Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1063420800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROSEWOOD DR STE 245",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234537",
            "telephone_number": "978-536-7400",
            "fax_number": "978-535-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 W YOSEMITE AVE",
            "address_2": "SUITE 2A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "209-239-3402",
            "fax_number": "209-239-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPMED OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-330-7836"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "ZZZ06442Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioSerenity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.