NPIMap

Organization Active NPI

Qualium Corp

  • Sleep Disorder Diagnostic Clinic/Center
  • Menlo Park, CA
National Provider Identifier
1922152107
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
QUALIUM CORP
Practice address
830 Menlo Ave
Menlo Park, CA 94025-4751
Phone
(866) 887-6673
Fax
(866) 442-7632
NPI assigned
Jan 23, 2007
Organization subpart
Yes
Parent organization
QUALIUM CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mr. Anoosh Mostowfi
Title
President
Phone
(408) 499-7597

Specialties & licenses 1

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

Addresses

Primary practice location

830 Menlo Ave
Menlo Park, CA 94025-4751

Mailing address

14981 National Ave
Suite 1
Los Gatos, CA 95032-2600
Phone (866) 887-6673

Other identifiers 2

IdentifierTypeStateIssuer
7383382OtherCAAETNA ID#
ZZZ09173ZOtherCABLUE SHIELD ID#

Other names 1

  • BAY SLEEP CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Qualium Corp18 organizations share this tax ID, including this one
Part of
Qualium Corp

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1922152107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14981 NATIONAL AVE",
            "address_2": "SUITE 1",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322600",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MENLO AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254751",
            "telephone_number": "866-887-6673",
            "fax_number": "866-442-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIUM CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUALIUM CORP",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "MOSTOWFI",
        "authorized_official_first_name": "ANOOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-499-7597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "7383382",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID#",
            "identifier": "ZZZ09173Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY SLEEP CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.