Organization Active NPI

Sleep Med LLC

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1316998594
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SLEEP MED LLC
Practice address
5050 Murphy Canyon Rd
Suite 100
San Diego, CA 92123-1847
Phone
(858) 277-7353
Fax
(858) 514-8626
NPI assigned
May 13, 2006
Organization subpart
Yes
Parent organization
AMERICAN SLEEP MEDICINE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Mr. Jim Evanger
Title
President
Phone
(904) 517-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

5050 Murphy Canyon Rd
Suite 100
San Diego, CA 92123-1847

Mailing address

7900 Belfort Parkway
Suite 301
Jacksonville, FL 32256-6978
Phone (904) 517-5500

Other identifiers 1

IdentifierTypeStateIssuer
IDTF00670MedicaidCA

Other names 1

  • American Sleep Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
American Sleep Medicine LLC

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1316998594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PARKWAY",
            "address_2": "SUITE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-517-5500",
            "fax_number": "904-517-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 MURPHY CANYON RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231847",
            "telephone_number": "858-277-7353",
            "fax_number": "858-514-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SLEEP MEDICINE, LLC",
        "enumeration_date": "2006-05-13",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "EVANGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-517-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTF00670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Sleep Medicine",
            "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 Nov 25, 2013; 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.