Organization Active NPI

Sleepmed of California Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Indian Wells, CA
National Provider Identifier
1437470671
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SLEEPMED OF CALIFORNIA INC
Practice address
74960 US Highway 111
Indian Wells, CA 92210-7117
Phone
(760) 346-0553
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Mr. Carl R Iberger
Title
Evp-Cao
Phone
(978) 536-7400

Specialties & licenses 1

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

Addresses

Primary practice location

74960 US Highway 111
Indian Wells, CA 92210-7117

Mailing address

200 Corporate PL
5B
Peabody, MA 01960-3840
Phone (978) 536-7400

Other identifiers 1

IdentifierTypeStateIssuer
7618325OtherCAAETNA

National Provider Directory

National Provider Directory

Locations

74960 US Highway 111
Indian Wells, CA 92210
Phone (760) 699-7914

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1437470671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE PL",
            "address_2": "5B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603840",
            "telephone_number": "978-536-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74960 US HIGHWAY 111",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107117",
            "telephone_number": "760-346-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPMED OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "IBERGER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EVP-CAO",
        "authorized_official_telephone_number": "978-536-7400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7618325",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.