Active NPI
Sleepmed of California, Inc.
Doing business as BioSerenity
- Sleep Disorder Diagnostic Clinic/Center
- Manteca, CA
National Provider Identifier
1063420800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7618325 | Other | CA | AETNA |
| ZZZ06442Z | Other | CA | BLUE SHIELD CA |
Other names 1
- BioSerenity
National Provider Directory
National Provider DirectoryNPI 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.