Organization Active NPI

Specialized Sleep Diagnostics

  • Other Specialist/Technologist
  • Roseville, CA
National Provider Identifier
1346607454
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
PTGL296 Issued in CA
Legal business name
SPECIALIZED SLEEP DIAGNOSTICS
Practice address
983 Reserve Dr
Roseville, CA 95678-1340
Phone
(916) 337-5502
Fax
(916) 258-7277
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Charles Tolbert, RPSGTNPI 1558611137
Title
Rpsgt Owner
Phone
(916) 337-9635

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X PTGL296 CA Primary

Addresses

Primary practice location

983 Reserve Dr
Roseville, CA 95678-1340

Mailing address

PO Box 6342
Folsom, CA 95763-6342
Phone (916) 337-5502

National Provider Directory

National Provider Directory

Locations

983 Reserve Dr
Roseville, CA 95678
Phone (916) 337-5502

Practitioners & affiliated clinicians

Practitioners 1

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": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1346607454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6342",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957636342",
            "telephone_number": "916-337-5502",
            "fax_number": "916-258-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 RESERVE DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781340",
            "telephone_number": "916-337-5502",
            "fax_number": "916-258-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "RPSGT OWNER",
        "authorized_official_telephone_number": "916-337-9635",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": "CA",
            "license": "PTGL296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.