PACIFIC SLEEP MEDICINE A MEDICAL CORP (NPI# 1922277029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922277029 |
| Entity Type | Organization |
| Organization Name | PACIFIC SLEEP MEDICINE A MEDICAL CORP |
| Other Organization Name | AVASTRA SLEEP DIAGNOSTIC INC |
| Practice Address |
5200 E Cortland Blvd Suite D6 Flagstaff AZ 86004-9337 |
| Mailing Address |
10808 Foothill Blvd Suite 160 226 Rancho Cucamonga CA 91730-3889 |
| Practice Telephone | 9285229053 |
| Practice Fax Number | 9285229076 |
| Mailing Telephone | 9094812577 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | MS. NANCY JOHNSON (CREDENTIALING) |
| Authorized Official Telephone | 9094812577 |
| 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 |
|---|---|---|---|---|
| 1285803288 | Pacific Sleep Medicine A Medical Corp | Clinic/Center | 817 Ne Anderson Ln, Lees Summit, MO 64064-1244 | 2008-02-22 |
| 1205005303 | Pacific Sleep Medicine A Medical Corp | Clinic/Center | 12901 Se 97th Ave, Clackamas, OR 97015-7901 | 2008-02-22 |
| 1265601264 | Pacific Sleep Medicine A Medical Corp | Clinic/Center | 14225 University Ave, Suite 140, Waukee, IA 50263-8294 | 2008-02-22 |
| 1821267824 | Pacific Sleep Medicine A Medical Corp | Clinic/Center | 10590 Barkley St, Overland Park, KS 66212-1811 | 2008-02-22 |
| 1427227511 | Pacific Sleep Medicine A Medical Corp | Clinic/Center | 16601 N 40th St, Suite 115, Phoenix, AZ 85032-3345 | 2008-02-22 |
| Street Address |
5200 E CORTLAND BLVD SUITE D6 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-9337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528167681 | Paul David Whitney | Dentist | 5200 E Cortland Blvd, Suite C-4, Flagstaff, AZ 86004 | 2006-09-22 |
| 1487087508 | Stephanie Lynn So Collins | Dentist | 5200 E Cortland Blvd, Flagstaff, AZ 86004-9337 | 2013-08-12 |
| 1700069853 | Complete Sleep Analysis LLC | Durable Medical Equipment & Medical Supplies | 5200 E Cortland Blvd, Suite D-6, Flagstaff, AZ 86004-9337 | 2007-12-12 |
| 1437214335 | Abrio Family Services & Supports | Respite Care | 5200 E Cortland Blvd, Suite A15, Flagstaff, AZ 86004-9337 | 2006-12-22 |
| 1841364015 | Complete Sleep Analysis LLC | Clinic/Center | 5200 E Cortland Blvd, Suite D-6, Flagstaff, AZ 86004-9337 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841364015 | Complete Sleep Analysis LLC | Clinic/Center | 5200 E Cortland Blvd, Suite D-6, Flagstaff, AZ 86004-9337 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342319 | Banner Sleep Centers LLC | Clinic/Center | 1828 E Florence Blvd Ste 136, Casa Grande, AZ 85122-4783 | 2020-09-24 |
| 1770199176 | Banner Sleep Centers LLC | Clinic/Center | 5757 W Thunderbird Rd Ste 352, Glendale, AZ 85306-4641 | 2020-09-21 |
| 1629689336 | Valley Oximetry Incorporated | Clinic/Center | 13481 W Mcdowell Rd Ste 200, Goodyear, AZ 85395-2720 | 2020-08-14 |
| 1720629058 | Good Night Sleep Services, LLC | Clinic/Center | 13949 W Meeker Blvd Ste E, Sun City West, AZ 85375-4436 | 2019-10-08 |
| 1386151900 | Sleep Science Mobile Sleep and Neuro Services, LLC | Clinic/Center | 700 W Prince Rd Ste 150, Tucson, AZ 85705-3480 | 2018-01-04 |
| 1861936908 | 1 Stop Cpap Shop | Clinic/Center | 7760 E State Route 69, C5-207, Prescott Valley, AZ 86314-2201 | 2016-12-08 |
| 1629457460 | Sleep Essential Systems LLC | Clinic/Center | 1442 W Kandy Ct, Tucson, AZ 85745-3803 | 2015-05-26 |
| 1821490681 | Rejuvenight, LLC | Clinic/Center | 13840 N Northsight Blvd Ste 117, Scottsdale, AZ 85260-3665 | 2014-09-23 |
| 1811249071 | Sonoran Sleep Diagnostics, LLC | Clinic/Center | 2410 W Ruthrauff Rd, Suite M, Tucson, AZ 85705-1952 | 2012-10-11 |
| 1053602987 | Cochise County Neurodiagnostics | Clinic/Center | 2160 E Fry Blvd Ste C5, Sierra Vista, AZ 85635-2794 | 2011-04-26 |
| 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.