PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION (NPI# 1306015409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306015409 |
| Entity Type | Organization |
| Organization Name | PACIFIC SLEEP MEDICINE, A MEDICAL CORPORATION |
| Other Organization Name | AVASTRA SLEEP DIAGNOSTIC INC |
| Practice Address |
613 E Fort Union Ste A102 Midvale UT 84047 |
| Mailing Address |
10532 Acacia St Suite B-4 Rancho Cucamonga CA 91730-5446 |
| Practice Telephone | 8015237533 |
| Practice Fax Number | 8015233707 |
| Mailing Telephone | 9094812577 |
| Mailing Fax Number | 9094812546 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2009-01-16 |
| Authorized Official Name | MS. NANCY M JOHNSON (PHYSICIAN CREDENTIALING) |
| Authorized Official Telephone | 9094182577 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AVASTRA SLEEP DIAGNOSTIC INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336318963 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 4226 Avendia Chochise, Suite 10, Sierra Vista, AZ 85635-5818 | 2008-02-28 |
| 1053580134 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 2875 50th St, Sacramento, CA 95817-2308 | 2008-02-22 |
| 1134360217 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 500 17th Ave, Suite A-20, Seattle, WA 98122-5711 | 2009-03-18 |
| 1548405145 | Pacific Sleep Medicine, A Medical Corporation | Specialist | 555 Washington St, Ste 1037, San Diego, CA 92103-2289 | 2008-12-10 |
| 1477722544 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 1671 Creekside Dr, Suite 100, Folsom, CA 95630-3890 | 2008-02-22 |
| 1114196110 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 9600 Sw Oak St, Suite 350, Tigard, OR 97223-6583 | 2008-02-22 |
| 1124297288 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 1020 Sun Down Way, Suite160, Roseville, CA 95661-4473 | 2008-02-22 |
| 1053580126 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 2570 Goodwater Ave, Suite 200, Redding, CA 96002-1548 | 2008-02-22 |
| 1780763466 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 700 Sunset Dr, Suite C, La Grande, OR 97850-1260 | 2006-11-03 |
| 1730268467 | Pacific Sleep Medicine, A Medical Corporation | Clinic/Center | 6333 Wilshire Blvd, Ste 402, Los Angeles, CA 90048-5702 | 2006-11-03 |
| Street Address |
613 E FORT UNION STE A102 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942374020 | Gregory D Hammond | Internal Medicine | 613 E Fort Union, Suite #a102, Midvale, UT 84047-5531 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723650 | Med One Medical | Clinic/Center | 6965 Union Park Ctr, #400, Midvale, UT 84047-6008 | 2005-07-08 |
| 1942206370 | Sleepwell Partners, LLC | Clinic/Center | 613 Fort Union Blvd, Ste 102-a, Midvale, UT 84047-5531 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1821492968 | Advanced Sleep Solutions LLC | Clinic/Center | 2183 W Main St Ste A208, Lehi, UT 84043-6762 | 2014-10-17 |
| 1528315884 | Sleepbetter LLC | Clinic/Center | 515 W Forest St Ste B1, Brigham City, UT 84302-2057 | 2012-08-06 |
| 1932463676 | Sleep Medicine Clinic | Clinic/Center | 5323 S Woodrow St, Ste 205, Murray, UT 84107-5841 | 2012-06-27 |
| 1205004538 | Rocky Mountain Sleep Diagnostics, Inc | Clinic/Center | 925 N 300 E, Price, UT 84501-1811 | 2008-02-20 |
| 1023183043 | Integrated Professional Serv LLC | Clinic/Center | 515 E 4500 S, Suite G-220, Salt Lake City, UT 84107-4500 | 2006-11-22 |
| 1508948969 | Sleep Institute of Utah Lc | Clinic/Center | 552 E 1400 S, Orem, UT 84097-7714 | 2006-10-19 |
| 1083701601 | Sleep Institute of Utah LLC | Clinic/Center | 1464 E Ridgeline Dr, Ste 104, South Ogden, UT 84405-4998 | 2006-10-06 |
| 1851302152 | Advanced Research Systems Inc | Clinic/Center | 8545 S Redwood Rd Ste A, West Jordan, UT 84088-5576 | 2006-08-11 |
| 1386671196 | St George Sleep Medicine Center PC | Clinic/Center | 251 Hilton Dr, # 107, St George, UT 84770-2320 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
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| 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.