Active NPI
Sleepmed of California Inc
- Sleep Disorder Diagnostic Clinic/Center
- Indian Wells, CA
National Provider Identifier
1437470671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7618325 | Other | CA | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.