NPIMap

Organization Active NPI

Sleep Med of la

  • Sleep Medicine (Family Medicine) Physician
  • Tarzana, CA
National Provider Identifier
1972732683
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
Legal business name
SLEEP MED OF LA
Practice address
18345 Ventura Blvd
Ste 403
Tarzana, CA 91356-4232
Phone
(818) 300-0022
Fax
(818) 300-0021
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Mr. Sammy Nickbakht
Title
Administrator
Phone
(818) 300-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X Primary

Addresses

Primary practice location

18345 Ventura Blvd
Ste 403
Tarzana, CA 91356-4232

Mailing address

18345 Ventura Blvd
Ste 403
Tarzana, CA 91356-4232
Phone (818) 300-0022

National Provider Directory

National Provider Directory
Tax ID family
Sleep Med of la2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

18345 Ventura Blvd
Ste 403
Tarzana, CA 91356
Phone (818) 300-0022

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1972732683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD",
            "address_2": "STE 403",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564232",
            "telephone_number": "818-300-0022",
            "fax_number": "818-300-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD",
            "address_2": "STE 403",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564232",
            "telephone_number": "818-300-0022",
            "fax_number": "818-300-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP MED OF LA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "NICKBAKHT",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-300-0022",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.