NPIMap

Organization Active NPI

Pacific Sleep Medicine, a Medical Corp

  • Sleep Disorder Diagnostic Clinic/Center
  • West Covina, CA
National Provider Identifier
1194025858
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
PACIFIC SLEEP MEDICINE, A MEDICAL CORP
Practice address
1135 S Sunset Ave
Suite 307
West Covina, CA 91790-3937
Phone
(626) 480-0033
Fax
(626) 480-0053
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mrs. Sandi Kemper
Title
Contracting
Phone
(909) 201-1725

Specialties & licenses 1

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

Addresses

Primary practice location

1135 S Sunset Ave
Suite 307
West Covina, CA 91790-3937

Mailing address

104 E Olive Ave
104
Redlands, CA 92373-5255
Phone (909) 793-9190

National Provider Directory

National Provider Directory
Tax ID family
Pacific Sleep Medicine a Medical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1194025858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OLIVE AVE",
            "address_2": "104",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735255",
            "telephone_number": "909-793-9190",
            "fax_number": "909-793-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 307",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-480-0033",
            "fax_number": "626-480-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SLEEP MEDICINE, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "CONTRACTING",
        "authorized_official_telephone_number": "909-201-1725",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.