Organization Active NPI

Guardian Sleep Clinic, LLC

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
National Provider Identifier
1174967079
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GUARDIAN SLEEP CLINIC, LLC
Practice address
315 Piercy Rd
San Jose, CA 95138
Phone
(408) 217-0250
NPI assigned
Apr 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Karen Valderrama
Title
President
Phone
(408) 217-0250

Specialties & licenses 2

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

Addresses

Primary practice location

315 Piercy Rd
San Jose, CA 95138

Mailing address

315 Piercy Rd
San Jose, CA 95138-1403
Phone (408) 217-0250

Other practice location 1

315 Piercy Rd
San Jose, CA 95138
Phone (408) 217-0250

Other names 1

  • Guardian Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222000865 CA DME Supplier - Medical Supply Company 0648588558 Practice locations: San Jose, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Guardian Sleep Clinic LLC315 Piercy Rd, San Jose, CA 95138-1403(408) 217-0250 Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Respiratory Assist Devices|Respiratory Suction Pumps|Ventilators Accessories and/or Supplies Accepts assignmentParticipating since Aug 17, 2015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1174967079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PIERCY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951381403",
            "telephone_number": "408-217-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PIERCY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95138",
            "telephone_number": "408-217-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Piercy Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95138",
            "country_code": "US",
            "telephone_number": "408-217-0250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN SLEEP CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-22",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "VALDERRAMA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-217-0250"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.