Beverlymedical Sleep Center & Neurodiagnostic, Inc

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

39187 Issued in CA

Legal business name

BEVERLYMEDICAL SLEEP CENTER & NEURODIAGNOSTIC, INC

Practice address

2730 Wilshire Blvd
Suite 110
Santa Monica, CA 90403-4743

Phone

(310) 449-4600

Fax

(310) 449-4699

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jack Geoula, M.D.NPI 1821006263

Title

Chief Executive Officer

Phone

(310) 449-4600

Specialties & licenses 1

Addresses

Other names 1

• Beverly Medical Sleep Center Corp. Former legal business name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2269/brand/2/csg/22/fhir/r4

Practitioners 1

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

• Jack Geoula, M,D.

  • Emergency Medicine Physician
  • Eureka, CA
  • NPI 1821006263
  NPD (past) Authorized official

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1245463546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034743",
            "telephone_number": "310-449-4600",
            "fax_number": "310-449-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD",
            "address_2": "SUITE 110",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034743",
            "telephone_number": "310-449-4600",
            "fax_number": "310-449-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLYMEDICAL SLEEP CENTER & NEURODIAGNOSTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "GEOULA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-449-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "39187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Medical Sleep Center Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha Robyn Haas Besser, DMD
• Best Natural Smile
• Best Physical Therapy & Sports Medicine, Inc
• Beth Siegler, a Medical Corporation
• John S Bettinger, DDS
• Tracy Kovacs Bevington, MA, MFT
• David Pierre Beynet, M.D.
• Umesh Thakurdas Bhagia, MD
• Anushka Rani Mahal Bhalla, MD, MPH
• Samir Bhalla, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Santa Monica, CA
• Providers in Santa Monica, 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 Sep 2, 2009; 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.