Pacific Sleep Medicine a Medical Corporation

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

PACIFIC SLEEP MEDICINE A MEDICAL CORPORATION

Practice address

555 E Tachevah Dr Ste 1E204
Palm Springs, CA 92262-5733

Phone

(760) 325-4100

Fax

(760) 778-6785

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Stuart J Menn, M.D.

Title

Owner

Phone

(760) 325-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pacific Sleep Medicine a Medical Corporation

  • Sleep Disorder Diagnostic Clinic/Center
  • Palm Springs, CA
  • NPI 1275279234

  O20050309000741

  Same enrollment
• Pacific Sleep Medicine a Medical Corporation

  • Sleep Disorder Diagnostic Clinic/Center
  • Palm Springs, CA
  • NPI 1396824033

  O20050309000741

  Same enrollment

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1427363225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 1E204",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625733",
            "telephone_number": "760-325-4100",
            "fax_number": "760-778-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E TACHEVAH DR STE 1E204",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922625733",
            "telephone_number": "760-325-4100",
            "fax_number": "760-778-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC SLEEP MEDICINE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "MENN",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-325-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Pacific Pharmacy Service Inc
• Pacific Pharmacy Service Inc
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine a Medical Corporation
• Pacific Sleep Medicine Services, Inc
• Pacifica Recovery Inc
• Pacifica SL Palm Springs LLC
• Lilia Margarita Pacini, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Palm Springs, CA
• Providers in Palm Springs, 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 May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.