Organization Active NPI

Ambulatory Care Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • San Diego, CA
National Provider Identifier
1386918308
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
54986 Issued in CA
Legal business name
AMBULATORY CARE SLEEP CENTER
Practice address
5225 Kearny Villa Way
San Diego, CA 92123-1410
Phone
(858) 974-7200
Fax
(858) 974-7245
NPI assigned
Mar 8, 2012
Organization subpart
Yes
Parent organization
AMBULATORY CARE SURGICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Dr. Ronald L. Gertsch, M.D.
Title
Medical Director
Phone
(858) 974-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 54986 CA Primary

Addresses

Primary practice location

5225 Kearny Villa Way
San Diego, CA 92123-1410

Mailing address

5225 Kearny Villa Way
San Diego, CA 92123-1410
Phone (858) 974-7200

National Provider Directory

National Provider Directory
Part of
Ambulatory Care Surgical Center Inc

Locations

5225 Kearny Villa Way
San Diego, CA 92123
Phone (858) 974-7200

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1386918308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 KEARNY VILLA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231410",
            "telephone_number": "858-974-7200",
            "fax_number": "858-974-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 KEARNY VILLA WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231410",
            "telephone_number": "858-974-7200",
            "fax_number": "858-974-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY CARE SLEEP CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBULATORY CARE SURGICAL CENTER",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "GERTSCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "858-974-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "54986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 8, 2012; 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.