Organization Active NPI

Gandis G Mazeika MD PS

Doing business as Sound Sleep Health

  • Sleep Disorder Diagnostic Clinic/Center
  • Edmonds, WA
National Provider Identifier
1326127309
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
GANDIS G MAZEIKA MD PS
Doing business as
Sound Sleep Health
Practice address
21701 76TH Ave W Ste 206
Edmonds, WA 98026-7536
Phone
(425) 636-2400
Fax
(425) 636-2401
NPI assigned
Nov 2, 2006
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Gandis G Mazeika, MDNPI 1679518880
Title
President
Phone
(425) 636-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary
Specialist 174400000X MD00038659 WA

Addresses

Primary practice location

21701 76TH Ave W Ste 206
Edmonds, WA 98026-7536

Mailing address

16150 NE 85TH St Ste 203
Redmond, WA 98052-3543
Phone (425) 636-2400

Other identifiers 1

IdentifierTypeStateIssuer
1110975MedicaidWA

Other names 1

  • Sound Sleep Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001099 WA Part B Supplier - Clinic/Group Practice 8820081789 Receives reassigned benefits from 3 practitioners
Practice locations: Redmond, WA

National Provider Directory

National Provider Directory

Locations

1110 22nd St
Anacortes, WA 98221
Phone (360) 293-3101

1330 Rockefeller Ave
#230
Everett, WA 98201
Phone (425) 261-4923

916 Pacific Ave
#P
Everett, WA 98201
Phone (425) 258-7460

95 S Tobin St
Ste 205
Renton, WA 98057
Phone (425) 687-5999

509 Olive Way
Ste 1425
Seattle, WA 98101
Phone (425) 636-2345

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1326127309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523543",
            "telephone_number": "425-636-2400",
            "fax_number": "425-636-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 206",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-636-2400",
            "fax_number": "425-636-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANDIS G MAZEIKA MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "MAZEIKA",
        "authorized_official_first_name": "GANDIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-636-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00038659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110975",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Sleep Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sound Sleep Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.