Active NPI
Sleepmed of California, Inc.
- Sleep Disorder Diagnostic Clinic/Center
- Redlands, CA
National Provider Identifier
1760490593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SLEEPMED OF CALIFORNIA, INC.
- Doing business as
- BioSerenity
- Practice address
- 11201 California St
B2
Redlands, CA 92373 - Phone
- (909) 793-5105
- Fax
- (978) 535-9757
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice Shock
- Title
- Evp Clinical Operations
- Phone
- (214) 532-3757
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
11201 California St
B2
Redlands, CA 92373
Mailing address
99 Rosewood Dr Ste 245
Danvers, MA 01923-4537
Phone (978) 536-7400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7618325 | Other | CA | AETNA |
| P00201688 | Other | MEDICARE RR | |
| ZZZ51297Z | Other | CA | BLUE SHIELD CA |
Other names 1
- BioSerenity
National Provider Directory
National Provider DirectoryLocations
11201 California St
#B2
Redlands, CA 92373
Phone (909) 793-5105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652140800000",
"number": "1760490593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 ROSEWOOD DR STE 245",
"city": "DANVERS",
"state": "MA",
"postal_code": "019234537",
"telephone_number": "978-536-7400",
"fax_number": "978-535-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11201 CALIFORNIA ST",
"address_2": "B2",
"city": "REDLANDS",
"state": "CA",
"postal_code": "92373",
"telephone_number": "909-793-5105",
"fax_number": "978-535-9757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEPMED OF CALIFORNIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A",
"authorized_official_last_name": "SHOCK",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "EVP CLINICAL OPERATIONS",
"authorized_official_telephone_number": "214-532-3757"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7618325",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00201688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD CA",
"identifier": "ZZZ51297Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BioSerenity",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.