Organization Active NPI

Sleep Diagnostic Center of Rancho Mirage

  • Sleep Medicine (Internal Medicine) Physician
  • Rancho Mirage, CA
National Provider Identifier
1861642472
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
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

Updated by the provider on May 18, 2009

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)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000344 CA Part B Supplier - Clinic/Group Practice 4688721202 Receives reassigned benefits from 1 practitioner
Practice locations: Indian Wells, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.