Qualium Corp

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

QUALIUM CORP

Practice address

14981 National Ave
Suite 1
Los Gatos, CA 95032-2600

Phone

(866) 887-6673

Fax

(408) 358-7753

NPI assigned

Oct 25, 2006

Last updated

Jul 26, 2010By 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

Mr. Anoosh Mostowfi

Title

President

Phone

(408) 499-7597

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• BAY SLEEP CLINIC Other name

Locations

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1275618811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE",
            "address_2": "SUITE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "866-887-6673",
            "fax_number": "408-358-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE",
            "address_2": "SUITE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "866-887-6673",
            "fax_number": "408-358-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIUM CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MOSTOWFI",
        "authorized_official_first_name": "ANOOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-499-7597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID#",
            "identifier": "ZZZ03726Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID#",
            "identifier": "ZZZ06310Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID# - DME",
            "identifier": "ZZZ06076Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "7383382",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID#",
            "identifier": "P00310625",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY SLEEP CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Jean Purcell, M.D., PHD
• Susan Jensen Purcell, DDS
• Laurann Marie Putnam, OTR/L
• Brianna Quade, PT, DPT
• Julie Ann Quakenbush, M.D.
• Qualium Corp.
• Matthew Barrett Quan, PT, DPT
• Michele Quanz, AMFT
• Quick Gyno Physician Assistant, Inc
• Savannah Tipton Quinnes, ACSW #125738, PPSC

• Sleep Disorder Diagnostic Clinic/Center in Los Gatos, CA
• Providers in Los Gatos, 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 26, 2010; 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.