NPIMap

Organization Active NPI

Pacific Sleep Medicine Services, Inc.

Doing business as CardioSom

  • Durable Medical Equipment & Medical Supplies
  • West Covina, CA
National Provider Identifier
1871708982
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
52915 Issued in CA
Legal business name
PACIFIC SLEEP MEDICINE SERVICES, INC.
Doing business as
CardioSom
Practice address
1250 S Sunset Ave
Suite 303B
West Covina, CA 91790-3912
Phone
(626) 480-0033
Fax
(626) 480-0053
NPI assigned
May 11, 2007
Organization subpart
Yes
Parent organization
DORMIR, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 52915 CA Primary

Addresses

Primary practice location

1250 S Sunset Ave
Suite 303B
West Covina, CA 91790-3912

Mailing address

615 W Carmel Dr
Suite 100
Carmel, IN 46032-5504
Phone (317) 706-1080

Other names 1

  • CardioSom Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1250 S Sunset Ave
Ste 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": "1294704000000",
    "number": "1871708982",
    "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": "1250 S SUNSET AVE",
            "address_2": "SUITE 303B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903912",
            "telephone_number": "626-480-0033",
            "fax_number": "626-480-0053"
        }
    ],
    "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": "2011-01-11",
        "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": "52915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2011; 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.