Organization Active NPI

Cedarnorth Sleep Inc

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1447625751
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CEDARNORTH SLEEP INC
Practice address
7405 N Cedar Ave Ste 102
Fresno, CA 93720-3838
Phone
(559) 432-4948
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Bettina TongNPI 1689884223
Title
Partner
Phone
(559) 432-4948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 29003 CA
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X A63350 CA
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

7405 N Cedar Ave Ste 102
Fresno, CA 93720-3838

Mailing address

7405 N Cedar Ave Ste 102
Fresno, CA 93720-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191123000167 CA DME Supplier - Oral Surgery - Dentist 0345672705 Practice locations: Fresno, CA
O20200206002999 CA Part B Supplier - Clinic/Group Practice 0345672705 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

7405 N Cedar Ave
Ste 102A
Fresno, CA 93720
Phone (559) 432-4948

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1447625751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 N CEDAR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 N CEDAR AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203838",
            "telephone_number": "559-432-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARNORTH SLEEP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "BETTINA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-432-4948"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29003",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A63350",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.