NPIMap

Organization Active NPI

Qualium Corp

  • Sleep Disorder Diagnostic Clinic/Center
  • South San Francisco, CA
National Provider Identifier
1700215704
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
QUALIUM CORP
Practice address
225 Spruce Ave
Suite 1
South San Francisco, CA 94080-3631
Phone
(866) 887-6673
Fax
(866) 442-7632
NPI assigned
Nov 11, 2013
Organization subpart
Yes
Parent organization
QUALIUM CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Authorized official

Name
Mr. Anoosh Mostowfi
Title
President
Phone
(408) 499-7597

Specialties & licenses 1

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

Addresses

Primary practice location

225 Spruce Ave
Suite 1
South San Francisco, CA 94080-3631

Mailing address

1845 Winchester Blvd
Campbell, CA 95008-1165
Phone (866) 887-6673

Other names 1

  • BAY SLEEP CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Qualium Corp18 organizations share this tax ID, including this one
Part of
Qualium Corp

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1845 S Winchester Blvd
Campbell, CA 95008

225 Spruce Ave
Ste 1
South San Francisco, CA 94080
Phone (650) 752-6472

Practitioners & affiliated clinicians

Practitioners 2

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": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1700215704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 WINCHESTER BLVD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081165",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SPRUCE AVE",
            "address_2": "SUITE 1",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803631",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIUM CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALIUM CORP",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "MOSTOWFI",
        "authorized_official_first_name": "ANOOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-499-7597",
        "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": "BAY SLEEP CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.