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).
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 |
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 |
Street Address |
4206 TECHNOLOGY DR STE 2 |
City | MODESTO |
State | CA |
Zip Code | 95356-9484 |
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 |
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 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
Find all providers in zip 95356 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
Find all providers in MODESTO |
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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.