INLAND SLEEP CENTER, A MEDICAL GROUP (PRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC) NPI 1255412474

Clinic/Center (Multi-Specialty) in San Bernardino, CA

NPI 1255412474 Organization Clinic/Center Multi-Specialty CLIA Number 05D0998295 CLIA Certificate of Waiver

About INLAND SLEEP CENTER, A MEDICAL GROUP (PRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC)

Inland Sleep Center, A Medical Group (primary Care Medical Group Of Inland Empire, Inc) is a provider established in San Bernardino, California specializing in clinic/center (multi-specialty) . The NPI number of Inland Sleep Center, A Medical Group (primary Care Medical Group Of Inland Empire, Inc) is 1255412474 and was assigned on October 2006. The practitioner's primary taxonomy code is 261QM1300X with license number C2483376 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Inland Sleep Center, A Medical Group. The authorized official of this NPI record is Dr. Sunil Arora Md (Medical Director)

The CLIA number of Inland Sleep Center, A Medical Group is 05D0998295 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Inland Sleep Center, A Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1255412474

Provider NameINLAND SLEEP CENTER, A MEDICAL GROUP (PRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC)
Provider Location Address1998 N ARROWHEAD AVE SAN BERNARDINO, CA 92405
Provider Mailing Address1998 N ARROWHEAD AVE SAN BERNARDINO, CA 92405
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameINLAND SLEEP CENTER, A MEDICAL GROUP
Other Name TypeDoing Business As (3)
Enumeration Date10-17-2006
Last Update Date10-11-2017


Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty
License No.C2483376
License StateCA

Business Address

INLAND SLEEP CENTER, A MEDICAL GROUP
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA
ZIP 92405
Phone: (909) 882-0988
Fax: (909) 886-1301

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Mailing Address

INLAND SLEEP CENTER, A MEDICAL GROUP
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA
ZIP 92405
Phone: (909) 882-0988
Fax: (909) 886-1301



Authorized Official

Authorized Official NameDR. SUNIL ARORA MD
Authorized Official TitleMEDICAL DIRECTOR
Authorized Official Phone(909) 882-0988

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1255412474 is:

CLIA Number05D0998295
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
ZZZ22008ZMEDICARE ID-TYPE UNSPECIFIED (04)CA
GR0078712MEDICAID (05)CA
DA7622OTHER (01)CA

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942231022DR. EDWARD BUI HAI M.D.
Individual
Internal Medicine1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1730260910DR. HEEBOK KIM MD
Individual
Specialist1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1477634632 SANJAY KUDTARKAR
Individual
Specialist1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1881986271ANCHOR MEDICAL GROUP
Organization
Health Maintenance Organization1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1245574011PACIFIC HOME HEALTH
Organization
Home Health1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-8466
1013258334MRS. JOCELYN ELLEN SEITZ-KEOUGH FNP
Individual
Nurse Practitioner (Family)1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1841638137PACIFIC HOME HEALTH NURSING, INC.
Organization
Home Health1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1407856487PACIFIC HOSPICE INC.
Organization
Hospice Care, Community Based1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-8466
1962583104DR. SUNIL ARORA MD
Individual
Specialist1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1437718178 TONIEKA SPENCER RN, FNP
Individual
Nurse Practitioner (Family)1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1386294460 SAMIRA SHOKOOR
Individual
Nurse Practitioner (Family)1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1386281798 MANJIT RAI
Individual
Nurse Practitioner (Acute Care)1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1578193850MS. DHARA HASMUKH PATEL
Individual
Nurse Practitioner (Family)1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1063543981PACIFIC HOSPICE, INC.
Organization
Hospice Care, Community Based1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988
1366060857 ANDREA SUNGA NP-C
Individual
Nurse Practitioner (Family)1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
(909) 882-0988

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The 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 Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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 (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization 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 Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.