CARDIOSOM Full NPI Record 1013091867
Durable Medical Equipment & Medical Supplies in Redlands, CA

Complete NPI Dataset

The following table represents the complete NPI 1013091867 dataset for Cardiosom in 104 E OLIVE AVE STE 104 REDLANDS, CA 92373. The data table includes a list of all field names, values and definitions of the complete NPI record. The NPI dataset is available for download in CSV format using the "Download NPI" button below at the end of the table.

Name Value Definition
NPI1013091867The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code2Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EINUNAVAILThe Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business NamePACIFIC SLEEP MEDICINE SERVICES, INC.The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization NameCARDIOSOMOther name by which the organization provider is or has been known.
Provider Other Organization Name Type Code3Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address615 W CARMEL DRThe first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing AddressSUITE 100The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City NameCARMELThe city name in the mailing address of the provider being identified.
Provider Business Mailing Address State NameINThe State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code460325504The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S USThe country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number3177061080The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.


Provider Business Mailing Address Fax Number3177061022The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address104 E OLIVE AVEThe first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location AddressSTE 104The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameREDLANDSThe city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCAThe State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code923735255The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S USThe country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number9097939190The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number9097939770The fax number associated with the location address of the provider being identified.
Provider Enumeration Date10/25/2006The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date7/28/2010The date that a record was last updated or changed.
Authorized Official Last NameJARRELLThe last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First NameJAYThe first name of the authorized official.
Authorized Official Title or PositionPRESIDENT/COOThe title or position of the authorized official.
Authorized Official Telephone Number3177061080The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1332B00000XCode designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 152922The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1CAThe code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1Y
Is Organization SubpartY
Parent Organization LBNDORMIR, INC.
Parent Organization TINUNAVAIL
Authorized Official Name Prefix TextMR.