Active NPI
Pacific Sleep Medicine Services Inc
Doing business as CardioSom
- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
National Provider Identifier
1801001953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 52926
- Legal business name
- PACIFIC SLEEP MEDICINE SERVICES INC
- Doing business as
- CardioSom
- Practice address
- 11180 Warner Ave
Suite 367
Fountain Valley, CA 92708-7516 - Phone
- (714) 371-2431
- Fax
- (714) 371-2432
- NPI assigned
- May 11, 2007
- Last updated
- Oct 22, 2010
- Organization subpart
- Yes
- Parent organization
- DORMIR, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Jarrell
- Title
- President/Coo
- Phone
- (317) 706-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 52926 | CA | Primary |
Addresses
Primary practice location
11180 Warner Ave
Suite 367
Fountain Valley, CA 92708-7516
Mailing address
615 W Carmel Dr
Suite 100
Carmel, IN 46032-5504
Phone (317) 706-1080
Other names 1
- CardioSom
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba CardioSom of Tucson
- Oxygen Equipment & Supplies (DME)
- Tucson, AZ
- NPI 1114072741
Member Of
-
dba CardioSom
- Sleep Disorder Diagnostic Clinic/Center
- Midvale, UT
- NPI 1942206370
Member Of
Locations
11180 Warner Ave
Ste 367
Fountain Valley, CA 92708
Phone (714) 371-2431
2420 Vista Way
Ste 115
Oceanside, CA 92054
Phone (760) 721-9200
1250 S Sunset Ave
#303B
West Covina, CA 91790
Phone (626) 480-0033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1801001953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W CARMEL DR",
"address_2": "SUITE 100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325504",
"telephone_number": "317-706-1080",
"fax_number": "317-706-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11180 WARNER AVE",
"address_2": "SUITE 367",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087516",
"telephone_number": "714-371-2431",
"fax_number": "714-371-2432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC SLEEP MEDICINE SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DORMIR, INC.",
"enumeration_date": "2007-05-11",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "JARRELL",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "317-706-1080",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "52926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CardioSom",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.