Organization Active NPI

Los Angeles Sleep Disorders Group

  • Sleep Specialist (PhD)
  • Culver City, CA
National Provider Identifier
1184875684
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
LOS ANGELES SLEEP DISORDERS GROUP
Practice address
3831 Hughes Ave
#510
Culver City, CA 90232-2751
Phone
(310) 202-0999
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Dr. Omar Tirmizi, M.D.
Title
Physician
Phone
(310) 556-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X Primary

Addresses

Primary practice location

3831 Hughes Ave
#510
Culver City, CA 90232-2751

Mailing address

2796 Sycamore Dr
#103
Simi Valley, CA 93065-1546
Phone (805) 582-0999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101022000380 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6305984063 Practice locations: Culver City, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1184875684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 SYCAMORE DR",
            "address_2": "#103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651546",
            "telephone_number": "805-582-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "#510",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-202-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES SLEEP DISORDERS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "TIRMIZI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-556-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.