Advanced Sleep Medicine Services Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

ADVANCED SLEEP MEDICINE SERVICES INC

Practice address

12391 Lewis Street
Suite 101
Garden Grove, CA 92840-4668

Phone

(877) 775-3377

Fax

(877) 855-6227

NPI assigned

Oct 30, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

(877) 775-3377

Specialties & licenses 1

Addresses

Member of 1

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

• Johns Hopkins University

  dba Jhu - Pediatrics/Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Baltimore, MD
  • NPI 1689131575

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205089547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163677",
            "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": "12391 LEWIS STREET",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928404668",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP MEDICINE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2022-07-21",
        "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": "877-775-3377"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Disorder Diagnostic Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.