Active NPI
Sleep Diagnostic Center of Rancho Mirage
- Sleep Medicine (Internal Medicine) Physician
- Rancho Mirage, CA
National Provider Identifier
1861642472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- SLEEP DIAGNOSTIC CENTER OF RANCHO MIRAGE
- Doing business as
- Sleep Diagnostic Center of Rancho Mirage, Inc.
- Practice address
- 35900 Bob Hope Dr
Suite 172
Rancho Mirage, CA 92270-1766 - Phone
- (760) 699-7914
- Fax
- (760) 699-8052
- NPI assigned
- Sep 19, 2008
- 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
- Dr. Jahangir Jonathan Ahdoot, MD
- Title
- Owner/Medical Director
- Phone
- (760) 699-7914
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary |
Addresses
Primary practice location
35900 Bob Hope Dr
Suite 172
Rancho Mirage, CA 92270-1766
Mailing address
5319 University Dr
Suite 304
Irvine, CA 92612-2965
Phone (760) 699-7914
Other names 1
- Sleep Diagnostic Center of Rancho Mirage, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
35900 Bob Hope Dr
Ste 172
Rancho Mirage, CA 92270
Phone (760) 674-4846
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Irvine, CA
- NPI 1568559102
-
- Pulmonary Disease Physician
- Rancho Mirage, CA
- NPI 1962407767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242604800000",
"number": "1861642472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 UNIVERSITY DR",
"address_2": "SUITE 304",
"city": "IRVINE",
"state": "CA",
"postal_code": "926122965",
"telephone_number": "760-699-7914",
"fax_number": "760-699-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35900 BOB HOPE DR",
"address_2": "SUITE 172",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701766",
"telephone_number": "760-699-7914",
"fax_number": "760-699-8052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DIAGNOSTIC CENTER OF RANCHO MIRAGE",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-19",
"last_updated": "2009-05-18",
"status": "A",
"authorized_official_last_name": "AHDOOT",
"authorized_official_first_name": "JAHANGIR",
"authorized_official_middle_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "760-699-7914",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sleep Diagnostic Center of Rancho Mirage, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.