Organization Active NPI

Sleepmed of California, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Redlands, CA
National Provider Identifier
1760490593
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on May 10, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7618325OtherCAAETNA
P00201688OtherMEDICARE RR
ZZZ51297ZOtherCABLUE SHIELD CA

Other names 1

  • BioSerenity Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.