Active NPI
Qualium Corp.
- Sleep Disorder Diagnostic Clinic/Center
- San Francisco, CA
National Provider Identifier
1508910928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- QUALIUM CORP.
- Practice address
- 1375 Sutter St
Suite 216
San Francisco, CA 94109-5438 - Phone
- (415) 563-7773
- Fax
- (415) 563-7753
- NPI assigned
- Jan 23, 2007
- Organization subpart
- Yes
- Parent organization
- QUALIUM CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anoosh Mostowfi
- Title
- President
- Phone
- (408) 499-7597
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1375 Sutter St
Suite 216
San Francisco, CA 94109-5438
Mailing address
14981 National Ave
Suite 1
Los Gatos, CA 95032-2600
Phone (866) 887-6673
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ06310Z | Other | CA | BLUE SHIELD ID# |
| 7383382 | Other | CA | AETNA ID# |
| ZZZ06076Z | Other | CA | BLUE SHIELD ID# - DME |
Other names 1
- BAY SLEEP CLINIC
National Provider Directory
National Provider Directory- Part of
- Qualium Corp
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284076800000",
"number": "1508910928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14981 NATIONAL AVE",
"address_2": "SUITE 1",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322600",
"telephone_number": "866-887-6673",
"fax_number": "866-442-7632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1375 SUTTER ST",
"address_2": "SUITE 216",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095438",
"telephone_number": "415-563-7773",
"fax_number": "415-563-7753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALIUM CORP.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUALIUM CORP.",
"enumeration_date": "2007-01-23",
"last_updated": "2010-09-10",
"status": "A",
"authorized_official_last_name": "MOSTOWFI",
"authorized_official_first_name": "ANOOSH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-499-7597",
"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": "BLUE SHIELD ID#",
"identifier": "ZZZ06310Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID#",
"identifier": "7383382",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID# - DME",
"identifier": "ZZZ06076Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAY SLEEP CLINIC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.