NPIMap

Organization Active NPI

Advanced Sleep Medicine Services, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • West Covina, CA
National Provider Identifier
1790059053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
ADVANCED SLEEP MEDICINE SERVICES, INC.
Practice address
1250 S Sunset Ave
Suite 303 B
West Covina, CA 91790
Phone
(877) 775-3377
Fax
(877) 855-6227
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kermit Ray Newman
Title
Ceo/ President
Phone
(877) 775-3377

Specialties & licenses 1

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

Addresses

Primary practice location

1250 S Sunset Ave
Suite 303 B
West Covina, CA 91790

Mailing address

17835 Ventura Blvd Ste 300
Encino, CA 91316-3677
Phone (877) 775-3377

National Provider Directory

National Provider Directory
Tax ID family
Advanced Sleep Medicine Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790059053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17835 VENTURA BLVD STE 300",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163677",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE",
            "address_2": "SUITE 303 B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "877-775-3377",
            "fax_number": "877-855-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP MEDICINE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "877-775-3377"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.