Provider Demographics
NPI:1205839867
Name:SLEEPQUEST, INC.
Entity Type:Organization
Organization Name:SLEEPQUEST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:ORTALDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-412-0125
Mailing Address - Street 1:975 INDUSTRIAL RD
Mailing Address - Street 2:STE E
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-4138
Mailing Address - Country:US
Mailing Address - Phone:650-412-0123
Mailing Address - Fax:650-412-0130
Practice Address - Street 1:975 INDUSTRIAL RD
Practice Address - Street 2:STE E
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-4138
Practice Address - Country:US
Practice Address - Phone:650-412-0123
Practice Address - Fax:650-412-0130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-27
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13551332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1076980001Medicare NSC
CA1076980001Medicare NSC