Advanced Sleep and Gastroenterology Laboratories,Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ADVANCED SLEEP AND GASTROENTEROLOGY LABORATORIES,INC.

Practice address

4206 Technology Dr Ste 2
Modesto, CA 95356-8769

Phone

(209) 492-0735

Fax

(209) 579-2354

NPI assigned

Oct 14, 2011

Last updated

Oct 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Sam Davidson, MD

Title

Ceo

Phone

(209) 751-7165

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Robin Rene Hinchman, DC

  • Chiropractor
  • Modesto, CA
  • NPI 1861412181
  NPD (past)
• Hoang U Le, MD

  • Obstetrics & Gynecology Physician
  • Visalia, CA
  • NPI 1205075348
  NPD (past)
• Catherine Sook Song, MD

  • Obstetrics & Gynecology Physician
  • Modesto, CA
  • NPI 1548255888
  NPD (past)

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1396020947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BURGENLAND AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953820343",
            "telephone_number": "209-751-7165",
            "fax_number": "209-579-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 TECHNOLOGY DR STE 2",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568769",
            "telephone_number": "209-492-0735",
            "fax_number": "209-579-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SLEEP AND GASTROENTEROLOGY LABORATORIES,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "SAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-751-7165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Nursing Practice Medical Group Inc
• Advance Nursing Practice Medical Group Inc (Advance Wound Care)
• Advanced Medical Solutions, LLC
• Advanced Optometric Services Inc
• Advanced Sleep and Gastroenterology Laboratories, Inc
• Advanced Sleep Disorder Center, Inc.
• Adventist Health Physicians Network
• Aegis Treatment Centers, LLC
• Affection Health Care LLC
• Affection Health Care, a Professional Nursing Corporation

• Gastroenterology Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Gastroenterology Physician in California

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