Organization Active NPI

Balance Dream Diagnostic Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Glendale, CA
National Provider Identifier
1265717938
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
BALANCE DREAM DIAGNOSTIC INC
Practice address
1915 W Glenoaks Blvd
101A
Glendale, CA 91201-1541
Phone
(818) 736-5511
NPI assigned
Oct 13, 2011
Last updated
Oct 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Alexsander Karapetyan
Title
Owner
Phone
(818) 736-5511

Specialties & licenses 1

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

Addresses

Primary practice location

1915 W Glenoaks Blvd
101A
Glendale, CA 91201-1541

Mailing address

1915 W Glenoaks Blvd
101A
Glendale, CA 91201-1541
Phone (818) 736-5511

Other identifiers 1

IdentifierTypeStateIssuer
G62117OtherCAMEDICAL BOARD OF CALIFORNIA

National Provider Directory

National Provider Directory

Locations

1915 W Glenoaks Blvd
#101A
Glendale, CA 91201
Phone (818) 736-5511

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": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1265717938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD",
            "address_2": "101A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011541",
            "telephone_number": "818-736-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W GLENOAKS BLVD",
            "address_2": "101A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011541",
            "telephone_number": "818-736-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE DREAM DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "KARAPETYAN",
        "authorized_official_first_name": "ALEXSANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-736-5511"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "G62117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.