NPIMap

Organization Active NPI

Qualium Corp

Doing business as Bay Sleep Clinic

  • Sleep Disorder Diagnostic Clinic/Center
  • Soquel, CA
National Provider Identifier
1710237920
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
QUALIUM CORP
Doing business as
Bay Sleep Clinic
Practice address
3121 Park Ave
Suite C
Soquel, CA 95073-2920
Phone
(831) 600-7890
NPI assigned
Sep 14, 2012
Last updated
Sep 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
QUALIUM CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

3121 Park Ave
Suite C
Soquel, CA 95073-2920

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 Corporation18 organizations share this tax ID, including this one
Part of
Qualium Corporation

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1710237920",
    "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": "3121 PARK AVE",
            "address_2": "SUITE C",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732920",
            "telephone_number": "831-600-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIUM CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALIUM CORP",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "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 Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.