NPIMap

Organization Active NPI

Complete Sleep Solutions, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Medford, OR
National Provider Identifier
1083914923
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
MD18199 Issued in OR
Legal business name
COMPLETE SLEEP SOLUTIONS, INC.
Practice address
749 Golf View Dr
Medford, OR 97504-9654
Phone
(541) 772-5754
Fax
(541) 772-5734
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kishore Gopinathan Pathial, MD
Title
Director/Owner
Phone
(503) 472-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X MD18199 OR Primary

Addresses

Primary practice location

749 Golf View Dr
Medford, OR 97504-9654

Mailing address

2397 NE Cumulus Avenue
McMinnville, OR 97128
Phone (503) 472-5163

Other identifiers 1

IdentifierTypeStateIssuer
500629618MedicaidOR

Other names 1

  • Advanced Sleep Disorders Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1083914923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 NE CUMULUS AVENUE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-472-5163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 GOLF VIEW DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049654",
            "telephone_number": "541-772-5754",
            "fax_number": "541-772-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE SLEEP SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "PATHIAL",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_middle_name": "GOPINATHAN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "503-472-5163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "OR",
            "license": "MD18199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500629618",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Sleep Disorders Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.