NPIMap

Organization Active NPI

Corpmed, LLC

Doing business as Sleep Enhancement Organization

  • Sleep Medicine (Family Medicine) Physician
  • San Diego, CA
National Provider Identifier
1245463694
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
C51555 Issued in CA
Legal business name
CORPMED, LLC
Doing business as
Sleep Enhancement Organization
Practice address
12073 World Trade Dr
#3
San Diego, CA 92128-4391
Phone
(858) 472-6632
Fax
(858) 613-0524
NPI assigned
Sep 2, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Kevin Patrick Byrne, MD, MPHNPI 1114251477
Title
President
Phone
(858) 472-6632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X C51555 CA Primary

Addresses

Primary practice location

12073 World Trade Dr
#3
San Diego, CA 92128-4391

Mailing address

12073 World Trade Dr
#3
San Diego, CA 92128-4391
Phone (858) 472-6632

Other names 1

  • Sleep Enhancement Organization Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1245463694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12073 WORLD TRADE DR",
            "address_2": "#3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284391",
            "telephone_number": "858-472-6632",
            "fax_number": "858-613-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12073 WORLD TRADE DR",
            "address_2": "#3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284391",
            "telephone_number": "858-472-6632",
            "fax_number": "858-613-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-472-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "C51555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sleep Enhancement Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 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.