KSK Enterprises LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

KSK ENTERPRISES LLC

Practice address

1901 E Fourth St.
Suite 200
Santa Ana, CA 92705

Phone

(714) 939-7500

Fax

(714) 939-7577

NPI assigned

Jul 21, 2006

Organization subpart

Yes

Parent organization

AMERICAN SLEEP MEDICINE LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jim Evanger

Title

President

Phone

(904) 517-5500

Specialties & licenses 1

Addresses

Other names 1

• AMERICAN SLEEP MEDICINE Doing business as

Part of

American Sleep Medicine LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Dewalt, AGNP

  • Adult Health Nurse Practitioner
  • Long Beach, CA
  • NPI 1346603248
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1689694457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 BELFORT PARKWAY",
            "address_2": "SUTIE 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566978",
            "telephone_number": "904-517-5500",
            "fax_number": "904-517-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E FOURTH ST.",
            "address_2": "SUITE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-939-7500",
            "fax_number": "714-939-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSK ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN SLEEP MEDICINE LLC",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "EVANGER",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-517-5500",
        "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": [
        {
            "organization_name": "AMERICAN SLEEP MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Krueger, PPS
• Christopher Michael Krueger
• Kelly Don Krueger, PSYD
• Elizabeth Kryger
• Anna Kryzhanovsky
• Maryann Kubicek, MFT
• Lydia Kudlinski
• Ainsley Kudron
• Ralph Gunther Kuechle, PH.D.
• Denise Kuenstler

• Sleep Disorder Diagnostic Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Sleep Disorder Diagnostic Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.