Imperial Valley Sleep Disorders

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

License

393108 Issued in CA

Legal business name

IMPERIAL VALLEY SLEEP DISORDERS

Practice address

679 Baywood St
Imperial, CA 92251-8915

Phone

(760) 352-0500

Fax

(760) 352-0579

NPI assigned

Apr 8, 2008

Last updated

Apr 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jocelyne Banda

Title

Owner/Administrator

Phone

(760) 352-0500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1154594471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922440036",
            "telephone_number": "760-352-0500",
            "fax_number": "760-352-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 BAYWOOD ST",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922518915",
            "telephone_number": "760-352-0500",
            "fax_number": "760-352-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL VALLEY SLEEP DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "BANDA",
        "authorized_official_first_name": "JOCELYNE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "760-352-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "CA",
            "license": "393108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imperial Manor Skilled Nursing Inc
• Imperial Usd
• Imperial Valley Family Care Medical Group
• Imperial Valley Family Care Medical Group Apc
• Imperial Valley Family Care Medical Group, Apc
• Kristal Jaime, FNP-C
• Matthew John Jaime, RD
• Samantha Jimenez
• Charisma Shauntae Johnson, LVN
• Crystal Johnson

• Sleep Specialist (PhD) in Imperial, CA
• Providers in Imperial, CA by specialty
• Sleep Specialist (PhD) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.