Provider Demographics
NPI:1760634380
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:SUITE 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:650-412-0124
Practice Address - Street 1:5475 N FRESNO ST
Practice Address - Street 2:SUITE 112
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8334
Practice Address - Country:US
Practice Address - Phone:559-436-8800
Practice Address - Fax:559-436-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44445332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1076980003Medicare NSC