Organization Active NPI

Pacific Sleep Medicine, a Medical Corporation

  • Sleep Disorder Diagnostic Clinic/Center
  • West Covina, CA
National Provider Identifier
1932288685
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Feb 4, 2011

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.