ADVANCED SLEEP DISORDER CENTER, INC.


Address: 4206 Technology Dr Ste 2, Modesto, CA 95356-9484
Phone: 2097517165

ADVANCED SLEEP DISORDER CENTER, INC. (NPI# 1568646826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568646826
Entity Type Organization
Organization Name ADVANCED SLEEP DISORDER CENTER, INC.
Practice Address 4206 Technology Dr Ste 2
Modesto
CA 95356-9484
Practice Telephone 2097517165
Mailing Telephone 2097517165
Enumeration Date 2007-12-21
Last Update Date 2013-08-16
Authorized Official Name DR. JONATHAN SAM DAVIDSON (OWNER)
Authorized Official Telephone 2097517165
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
G66389 CA Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
G66389 CA Allopathic & Osteopathic Physicians
Y 261Q00000X Clinic/Center G66389 CA Ambulatory Health Care Facilities

Office Location

Street Address 4206 TECHNOLOGY DR STE 2
City MODESTO
State CA
Zip Code 95356-9484

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295891224 Jonathan Sam Davidson Internal Medicine 4206 Technology Dr Ste 2, Modesto, CA 95356-8769 2006-12-27
1396020947 Advanced Sleep and Gastroenterology Laboratories,inc. Internal Medicine 4206 Technology Dr Ste 2, Modesto, CA 95356-8769 2011-10-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649809021 Amelia E Delgadillo Licensed Vocational Nurse 501 Triangle Rd, Modesto, CA 95356 2020-04-07
1689220279 Meagan Veneman Physical Medicine & Rehabilitation 125 Hogue Rd, Modesto, CA 95356 2019-08-10
1497131213 Hermes Guardian Transport Non-emergency Medical Transport (VAN) 4221 Erin Way, Modesto, CA 95356 2015-08-04
1811373640 Melissa Ruiz Marriage & Family Therapist 5815 Stoddard Rd Suite 600, Modesto, CA 95356 2015-08-04
1922242866 Lifecare Solutions Inc Durable Medical Equipment & Medical Supplies 500 Glass Ln Ste H, Modesto, CA 95356 2009-04-22
1659541647 Ashley Allison Streeter Dentist 556 Lyell Dr, Modesto, CA 95356 2008-03-05
1265636013 Margaret Kathleen Grisell Orthopaedic Surgery 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 2007-06-14
1841412111 Bobby Gene Boswell Specialist/Technologist 3908 Vintage Cove, Modesto, CA 95356 2007-05-03
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1396871091 Michael Steven Beck Social Worker 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 2007-02-26
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366799801 Nineveh Outreach Clinic/Center 1601 Coffee Rd, Modesto, CA 95355-2801 2012-08-14
1225164056 Reproductive Health Care Center Clinic/Center 1801 Tully Rd Ste F, Modesto, CA 95350-2931 2007-02-26
1730285073 Valley Wound Healing Center, Inc. Clinic/Center 4335 N Star Way, A, Modesto, CA 95356-8624 2006-09-15
1619444882 American Current Care of California, A Medical Corporation Clinic/Center 1524 Mchenry Ave Ste 135, Modesto, CA 95350-4569 2018-10-25
1982171153 American Current Care of California, A Medical Corporation Clinic/Center 1340 Mitchell Rd, Modesto, CA 95351-4920 2018-10-25
1891991741 County of Stanislaus Clinic/Center 830 Scenic Dr, Ste A, Modesto, CA 95350-6131 2007-06-26
1154527232 County of Stanislaus Clinic/Center 830 Scenic Dr, Suite B, Modesto, CA 95350-6131 2007-06-25
1235335431 Samakhom Medical Clinic Inc Clinic/Center 300 I St, Modesto, CA 95351-2826 2007-06-25
1396941464 County of Stanislaus Clinic/Center 401 Paradise Rd, Suite E, Modesto, CA 95351-3104 2007-06-25
1093910275 County of Stanislaus Clinic/Center 1209 Woodrow Ave, Ste. B-10, Modesto, CA 95350-1288 2007-06-18
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Competitor

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City MODESTO
Zip Code 95356

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Dataset Information

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.

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