Organization Active NPI

Bakersfield Sleep Center Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Bakersfield, CA
National Provider Identifier
1992050165
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
3485606 Issued in CA
Legal business name
BAKERSFIELD SLEEP CENTER INC
Practice address
1400 Easton Dr Ste 110
Bakersfield, CA 93309-9403
Phone
(661) 873-4911
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Rose Maestas
Title
Cfo
Phone
(661) 805-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X 3485606 CA Primary

Addresses

Primary practice location

1400 Easton Dr Ste 110
Bakersfield, CA 93309-9403

Mailing address

1400 Easton Dr Ste 110
Bakersfield, CA 93309-9403
Phone (661) 873-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160318001326 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 6507163565 Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory
Tax ID family
Bakersfield Sleep Center2 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

5301 Office Park Dr
Ste 305
Bakersfield, CA 93309
Phone (661) 873-4911

1400 Easton Dr
Ste 110
Bakersfield, CA 93309
Phone (661) 326-0142

1527 19th St
Ste 402
Bakersfield, CA 93301
Phone (661) 328-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1992050165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EASTON DR STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099403",
            "telephone_number": "661-873-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EASTON DR STE 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099403",
            "telephone_number": "661-873-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAKERSFIELD SLEEP CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-01-17",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "661-805-0701"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "3485606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.