Active NPI
Pacific Sleep Medicine, a Medical Corporation
- Sleep Disorder Diagnostic Clinic/Center
- West Covina, CA
National Provider Identifier
1932288685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION
- Practice address
- 1250 S Sunset Ave
Ste 303-B
West Covina, CA 91790-3961 - Phone
- (626) 480-0033
- Fax
- (626) 480-0043
- NPI assigned
- Nov 3, 2006
- 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
- Mrs. Rebecca M Bojorquez
- Title
- Credentialing
- Phone
- (909) 793-9190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
1250 S Sunset Ave
Ste 303-B
West Covina, CA 91790-3961
Mailing address
104 E Olive Ave
Suite 104
Redlands, CA 92373-5255
Phone (909) 793-9190
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1932288685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E OLIVE AVE",
"address_2": "SUITE 104",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735255",
"telephone_number": "909-793-9190",
"fax_number": "909-793-9770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S SUNSET AVE",
"address_2": "STE 303-B",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903961",
"telephone_number": "626-480-0033",
"fax_number": "626-480-0043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "BOJORQUEZ",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "909-793-9190",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 4, 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.