Organization Active NPI

Breathe Diagnostics, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Corona, CA
National Provider Identifier
1659727949
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
BREATHE DIAGNOSTICS, INC.
Practice address
4214 Green River Rd Ste 100
Corona, CA 92878-3869
Phone
(888) 538-4663
Fax
(888) 538-4590
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Mr. Saman HeidariNPI 1891140612
Title
President/Ceo
Phone
(888) 538-4663

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 1

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

Addresses

Primary practice location

4214 Green River Rd Ste 100
Corona, CA 92878-3869

Mailing address

4214 Green River Rd Ste 100
Corona, CA 92878-3869
Phone (888) 538-4663

Other practice location 1

23332 Hawthorne Blvd Ste 201
Torrance, CA 90505-3767
Phone (888) 538-4663

Other practice location 2

4515 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-5797
Phone (888) 538-4663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20160617001395 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7214228493 Practice locations: Corona, CA
O20160826000347 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7214228493 Practice locations: Sherman Oaks, CA
O20190917002107 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7214228493 Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

4214 Green River Rd
#100
Corona, CA 92878

4214 Green River Rd
Corona, CA 92878
Phone (888) 538-4663

4515 Van Nuys Blvd
Ste 202
Sherman Oaks, CA 91403
Phone (888) 538-4663

23332 Hawthorne Blvd
Ste 201
Torrance, CA 90505
Phone (310) 294-4679

1322 Bell Ave
Ste 1E
Tustin, CA 92780
Phone (714) 259-7557

4955 Van Nuys Blvd
Ste 417
Van Nuys, CA 91403
Phone (818) 380-0310

Practitioners & affiliated clinicians

Practitioners 6

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1659727949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 GREEN RIVER RD STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783869",
            "telephone_number": "888-538-4663",
            "fax_number": "888-538-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 GREEN RIVER RD STE 100",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928783869",
            "telephone_number": "888-538-4663",
            "fax_number": "888-538-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23332 Hawthorne Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053767",
            "country_code": "US",
            "telephone_number": "888-538-4663",
            "fax_number": "888-538-4590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Van Nuys Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914035797",
            "country_code": "US",
            "telephone_number": "888-538-4663",
            "fax_number": "888-538-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREATHE DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "HEIDARI",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "888-538-4663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.