Organization Active NPI

Med-Net Medical Services

  • Sleep Disorder Diagnostic Clinic/Center
  • Encino, CA
National Provider Identifier
1821371857
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
MED-NET MEDICAL SERVICES
Doing business as
mednet sleep center
Practice address
16661 Ventura Blvd
Suite 403
Encino, CA 91436-1914
Phone
(818) 646-0118
Fax
(818) 849-5194
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Negah Behnam
Title
President
Phone
(818) 646-0118

Specialties & licenses 1

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

Addresses

Primary practice location

16661 Ventura Blvd
Suite 403
Encino, CA 91436-1914

Mailing address

16661 Ventura Blvd
Suite 403
Encino, CA 91436-1914
Phone (818) 646-0118

Other names 1

  • mednet sleep center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000193 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4284898750 Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Locations

16661 Ventura Blvd
Ste 403
Encino, CA 91436
Phone (818) 501-2000

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1821371857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 403",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-646-0118",
            "fax_number": "818-849-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 403",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-646-0118",
            "fax_number": "818-849-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-NET MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "BEHNAM",
        "authorized_official_first_name": "NEGAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-646-0118"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mednet sleep center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.