Active NPI
Guardian Sleep Clinic, LLC
- Durable Medical Equipment & Medical Supplies
- San Jose, CA
National Provider Identifier
1174967079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Durable Medical Equipment & Medical Supplies
- Salinas, CA
- NPI 1720770894
0648588558
-
- Durable Medical Equipment & Medical Supplies
- Fresno, CA
- NPI 1861039000
0648588558
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Guardian Sleep Clinic LLC | 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 assignment |
National Provider Directory
National Provider DirectoryNPI 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.