Organization Active NPI

Advanced Sleep Medicine Services, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • San Diego, CA
National Provider Identifier
1194098384
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ADVANCED SLEEP MEDICINE SERVICES, INC.
Practice address
555 Washington St
Suite 1037
San Diego, CA 92103-2289
Phone
(310) 479-0500
Fax
(310) 402-2703
NPI assigned
Feb 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Kermit Ray Newman
Title
Ceo/President
Phone
(310) 479-0500

Specialties & licenses 1

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

Addresses

Primary practice location

555 Washington St
Suite 1037
San Diego, CA 92103-2289

Mailing address

17835 Ventura Blvd
Suite 300
Encino, CA 91316
Phone (877) 775-3377

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

555 Washington St
Fl 1
San Diego, CA 92103

555 Washington St
Ste 1037
San Diego, CA 92103
Phone (310) 479-0500

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1194098384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD",
            "address_2": "SUITE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WASHINGTON ST",
            "address_2": "SUITE 1037",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032289",
            "telephone_number": "310-479-0500",
            "fax_number": "310-402-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP MEDICINE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "310-479-0500"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.