Organization Active NPI

Oxnard Sleep Disorders Center Inc

  • Sleep Disorder Diagnostic Clinic/Center
  • Oxnard, CA
National Provider Identifier
1548523137
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
OXNARD SLEEP DISORDERS CENTER INC
Practice address
905 S a St Ste 2
Oxnard, CA 93030-9254
Phone
(805) 667-8049
Fax
(805) 487-3100
NPI assigned
Jun 19, 2012
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Alys Aguirre
Title
Managing Director
Phone
(805) 667-8049

Specialties & licenses 1

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

Addresses

Primary practice location

905 S a St Ste 2
Oxnard, CA 93030-9254

Mailing address

905 S a St Ste 2
Oxnard, CA 93030-9254
Phone (805) 667-8049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201110002172 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3870735566 Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory

Locations

4840 Market St
Ste B
Ventura, CA 93003

1891 Goodyear Ave
Ste 614
Ventura, CA 93003
Phone (805) 667-8049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1548523137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S A ST STE 2",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930309254",
            "telephone_number": "805-667-8049",
            "fax_number": "805-487-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S A ST STE 2",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930309254",
            "telephone_number": "805-667-8049",
            "fax_number": "805-487-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXNARD SLEEP DISORDERS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "ALYS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "805-667-8049"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.