Organization Active NPI

Axg Sleep Diagnostics LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1669800116
Registry record updated Oct 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
TGL 19 Issued in CA
Legal business name
AXG SLEEP DIAGNOSTICS LLC
Practice address
9727 Elk Grove Florin Rd
Suite 160
Elk Grove, CA 95624-2264
Phone
(916) 502-0404
NPI assigned
Oct 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2013

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

Authorized official

Name
Mr. Jason Sazama, B.S.,RPSGT, RST
Title
President/Ceo
Phone
(916) 502-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X TGL 19 CA Primary

Addresses

Primary practice location

9727 Elk Grove Florin Rd
Suite 160
Elk Grove, CA 95624-2264

Mailing address

9727 Elk Grove Florin Rd
Suite 160
Elk Grove, CA 95624-2264
Phone (916) 502-0404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382227200000",
    "number": "1669800116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "SUITE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242264",
            "telephone_number": "916-502-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "SUITE 160",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242264",
            "telephone_number": "916-502-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXG SLEEP DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-20",
        "last_updated": "2013-10-20",
        "status": "A",
        "authorized_official_last_name": "SAZAMA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-502-0404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S.,RPSGT, RST"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "TGL 19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.