Active NPI
Advanced Sleep Medicine Services Inc
- Sleep Disorder Diagnostic Clinic/Center
- San Diego, CA
National Provider Identifier
1629341805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- ADVANCED SLEEP MEDICINE SERVICES INC
- Practice address
- 6215 Ferris SQ
Suite 120
San Diego, CA 92121-3283 - Phone
- (877) 775-3377
- Fax
- (877) 855-6227
- NPI assigned
- Feb 17, 2012
- Last updated
- Jul 21, 2022
- 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
- Kermit Ray Newman
- Title
- Ceo/President
- Phone
- (877) 775-3377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
6215 Ferris SQ
Suite 120
San Diego, CA 92121-3283
Mailing address
17835 Ventura Blvd
Suite 300
Encino, CA 91316-3634
Phone (877) 775-3377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC264A | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Jhu -Medicine/Gastroenterology
- Gastroenterology Physician
- Baltimore, MD
- NPI 1396732368
Member Of
Locations
6215 Ferris Sq
Ste 120
San Diego, CA 92121
Phone (800) 683-1209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1629341805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17835 VENTURA BLVD",
"address_2": "SUITE 300",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163634",
"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": "6215 FERRIS SQ",
"address_2": "SUITE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213283",
"telephone_number": "877-775-3377",
"fax_number": "877-855-6227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SLEEP MEDICINE SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-17",
"last_updated": "2022-07-21",
"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"
},
"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": "MEDICARE PTAN",
"identifier": "HC264A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Advanced Home Health San Diego Inc
- Advanced MD Medical Group Inc
- Advanced Pain Management & Anesthesiology
- Advanced Pediatric Medical Group Inc
- Advanced Rehabilitation Technologies
- Advanced Sleep Medicine Services, Inc.
- Advanced Sleep Medicine Services, Inc.
- Advanced Stims and Products
- Advanced Therapy Equipment
- Advanced Travel Health LLC (Advanced Physical Therapy & Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.