Active NPI
Sleep Med LLC
- Clinical Medical Laboratory
- San Diego, CA
National Provider Identifier
1316998594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IDTF00670 | Medicaid | CA |
Other names 1
- American Sleep Medicine
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.