Organization Active NPI

California Sleep Diagnostic Services

  • Clinical Medical Laboratory
  • Templeton, CA
National Provider Identifier
1235378167
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
00016880 Issued in CA
Legal business name
CALIFORNIA SLEEP DIAGNOSTIC SERVICES
Practice address
235 Gaucho CT
Templeton, CA 93465-5442
Phone
(805) 434-3171
Fax
(805) 434-3171
NPI assigned
Feb 17, 2009
Organization subpart
Yes
Parent organization
LONNIE R SMITH M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Mrs. Shelly Ann Roberson, CRTT
Title
Owner
Phone
(805) 434-3171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD)Group: 193400000X SINGLE SPECIALTY GROUP 173F00000X G51637 CA
Clinical Medical Laboratory 291U00000X 00016880 CA Primary

Addresses

Primary practice location

235 Gaucho CT
Templeton, CA 93465-5442

Mailing address

235 Gaucho CT
Templeton, CA 93465-5442
Phone (805) 434-3171

National Provider Directory

National Provider Directory
Part of
Lonnie R Smith MD Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1235378167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 GAUCHO CT",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655442",
            "telephone_number": "805-434-3171",
            "fax_number": "805-434-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 GAUCHO CT",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655442",
            "telephone_number": "805-434-3171",
            "fax_number": "805-434-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SLEEP DIAGNOSTIC SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONNIE R SMITH M.D.",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-434-3171",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRTT"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "CA",
            "license": "G51637",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "00016880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.