Organization Active NPI

Stat Pulseox & Diagnostics LLC

  • Pulmonary Diagnostics Certified Respiratory Therapist
  • Fountain Valley, CA
National Provider Identifier
1194586974
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Certified Respiratory TherapistTaxonomy code 2278P1004X
Legal business name
STAT PULSEOX & DIAGNOSTICS LLC
Practice address
11630 Warner Ave Apt 601
Fountain Valley, CA 92708-2570
Phone
(714) 914-3106
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Amil KadicNPI 1528821931
Title
Ceo
Phone
(714) 914-3106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Diagnostics Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278P1004X Primary

Addresses

Primary practice location

11630 Warner Ave Apt 601
Fountain Valley, CA 92708-2570

Mailing address

11630 Warner Ave Apt 601
Fountain Valley, CA 92708-2570
Phone (714) 914-3106

National Provider Directory

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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1194586974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 WARNER AVE APT 601",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082570",
            "telephone_number": "714-914-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 WARNER AVE APT 601",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082570",
            "telephone_number": "714-914-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT PULSEOX & DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KADIC",
        "authorized_official_first_name": "AMIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-914-3106"
    },
    "taxonomies": [
        {
            "code": "2278P1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.