Organization Active NPI

Advanced Sleep Medicine Services Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1447571914
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ADVANCED SLEEP MEDICINE SERVICES INC
Practice address
11500 W. Olympic Blvd.
Ste 415
Los Angeles, CA 90064-1536
Phone
(310) 479-0500
Fax
(310) 402-2703
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Mr. Kermit Ray Newman
Title
Ceo/President
Phone
(877) 775-3377

Specialties & licenses 2

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

Addresses

Primary practice location

11500 W. Olympic Blvd.
Ste 415
Los Angeles, CA 90064-1536

Mailing address

17835 Ventura Blvd Suite 300
Encino, CA 91316
Phone (877) 775-3377

National Provider Directory

National Provider Directory
Tax ID family
Advanced Sleep Medicine Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1447571914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD SUITE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91316",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W. OLYMPIC BLVD.",
            "address_2": "STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641536",
            "telephone_number": "310-479-0500",
            "fax_number": "310-402-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP MEDICINE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "877-775-3377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.