NPIMap

Organization Active NPI

Complete Sleep Analysis LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1306910567
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
OTC 4064 Issued in AZ
Legal business name
COMPLETE SLEEP ANALYSIS LLC
Practice address
16601 N 40TH St
Suite 115
Phoenix, AZ 85032-3345
Phone
(602) 682-7630
Fax
(602) 682-7632
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Ms. Nancy M Johnson
Title
Credentialing
Phone
(909) 481-2577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X OTC 4064 AZ Primary

Addresses

Primary practice location

16601 N 40TH St
Suite 115
Phoenix, AZ 85032-3345

Mailing address

10532 Acacia St
Suite B-4
Rancho Cucamonga, CA 91730-5446
Phone (909) 481-2577

National Provider Directory

National Provider Directory

Locations

10808 Foothill Blvd
#160226
Rch Cucamonga, CA 91730

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1306910567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 ACACIA ST",
            "address_2": "SUITE B-4",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305446",
            "telephone_number": "909-481-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST",
            "address_2": "SUITE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323345",
            "telephone_number": "602-682-7630",
            "fax_number": "602-682-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SLEEP ANALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "909-481-2577",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "AZ",
            "license": "OTC 4064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.