BEVERLYMEDICAL SLEEP CENTER & NEURODIAGNOSTIC, INC (NPI# 1245463546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245463546 |
| Entity Type | Organization |
| Organization Name | BEVERLYMEDICAL SLEEP CENTER & NEURODIAGNOSTIC, INC |
| Other Organization Name | BEVERLY MEDICAL SLEEP CENTER CORP. |
| Practice Address |
2730 Wilshire Blvd Suite 110 Santa Monica CA 90403-4743 |
| Practice Telephone | 3104494600 |
| Practice Fax Number | 3104494699 |
| Mailing Telephone | 3104494600 |
| Mailing Fax Number | 3104494699 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | DR. JACK GEOULA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3104494600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
39187 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beverly Medical Sleep Center Corp. | Former Legal Business Name - Organization |
| Street Address |
2730 WILSHIRE BLVD SUITE 110 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814706 | Michael David Greenwald | Psychologist | 2730 Wilshire Blvd, Suite 650, Santa Monica, CA 90403-4743 | 2005-10-09 |
| 1558914994 | Allison Nurse-hofer | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-07-23 |
| 1770056434 | Elizabeth A Lauber | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-01-05 |
| 1770066193 | Stephanie Sarah Fogelson | Physical Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2018-09-11 |
| 1992230718 | Skin By Lovely | Clinic/Center | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-04-30 |
| 1215478441 | Mind Health Institute Santa Monica | Psychiatry & Neurology | 2730 Wilshire Blvd, #507, Santa Monica, CA 90403-4743 | 2017-03-20 |
| 1679019715 | Kristy Charlier | Registered Nurse | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-01-12 |
| 1982155198 | Jake Edward Goldman | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 630, Santa Monica, CA 90403-4743 | 2016-10-23 |
| 1881141026 | Molly Schaffer, Marriage & Family Therapist, PC | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 250, Santa Monica, CA 90403-4743 | 2016-09-06 |
| 1790238418 | Matrix Physical Therapy and Wellness | Clinic/Center | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4743 | 2016-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578477 | Somnology Inc | Clinic/Center | 493 Seaport Ct, Redwood City, CA 94063-2787 | 2020-04-30 |
| 1457986986 | Got Sleep Inc | Clinic/Center | 9497 N Fort Washington Rd Ste 103, Fresno, CA 93730-0606 | 2020-03-04 |
| 1568095420 | Pasadena Neuro Center Inc | Clinic/Center | 1345 Riviera Dr, Pasadena, CA 91107-1659 | 2020-02-19 |
| 1780229260 | Sleep Apnea Team LLC | Clinic/Center | 2785 Pacific Coast Hwy Ste. E #197, Torrance, CA 90505 | 2019-11-08 |
| 1073155735 | Nisha Kohli | Clinic/Center | 24321 Bay Laurel Ave, Murrieta, CA 92562-2163 | 2019-10-15 |
| 1396395489 | Enhanced Sleep Solutions | Clinic/Center | 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 | 2019-09-19 |
| 1760038145 | Priority Sleep Centers, LLC | Clinic/Center | 7965 Vineyard Ave Ste F7, Rancho Cucamonga, CA 91730-2313 | 2019-08-12 |
| 1912559741 | San Francisco Sleep, LLC | Clinic/Center | 2001 Union St Ste 250, San Francisco, CA 94123-4107 | 2019-07-11 |
| 1295397156 | Sky Sleep Lab Inc. | Clinic/Center | 16661 Ventura Blvd Ste 213, Encino, CA 91436-1940 | 2019-07-01 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| Find all providers with the same taxonomy | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
Please comment or provide details below to improve the information on BEVERLYMEDICAL SLEEP CENTER & NEURODIAGNOSTIC, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.