Organization Active NPI

Preferred Sleep Diagnostics

  • Sleep Disorder Diagnostic Clinic/Center
  • Fullerton, CA
National Provider Identifier
1104369503
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PREFERRED SLEEP DIAGNOSTICS
Practice address
100 Laguna Rd
Ste 205
Fullerton, CA 92835-3633
Phone
(714) 525-6500
Fax
(714) 489-8140
NPI assigned
Dec 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Authorized official

Name
Nathaniel Gumm
Title
Ceo
Phone
(714) 525-6500

Specialties & licenses 1

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

Addresses

Primary practice location

100 Laguna Rd
Ste 205
Fullerton, CA 92835-3633

Mailing address

100 Laguna Rd
Ste 205
Fullerton, CA 92835-3633
Phone (714) 525-6500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1104369503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD",
            "address_2": "STE 205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-525-6500",
            "fax_number": "714-489-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAGUNA RD",
            "address_2": "STE 205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353633",
            "telephone_number": "714-525-6500",
            "fax_number": "714-489-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "GUMM",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-525-6500"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.