Innovative Sleep Centers, Inc.

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

Legal business name

INNOVATIVE SLEEP CENTERS, INC.

Practice address

1505 Victor Ave
Redding, CA 96003-4031

Phone

(415) 927-4990

Fax

(415) 927-4999

NPI assigned

Nov 4, 2014

Last updated

Dec 19, 2019By 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

Mehrdad Razavi, M.D.NPI 1609857788

Title

Director

Phone

(415) 927-4990

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17033/brand/1/csg/1/fhir/r4

Practitioners 21

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.

• Mehrdad Razavi, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Redding, CA
  • NPI 1609857788
  Medicare reassignment Care Compare group NPD Authorized official
• Kaitlyn Alibrando, PA-C

  • Physician Assistant
  • Stanford, CA
  • NPI 1760901763
  Medicare reassignment Care Compare group NPD
• Devin Silvestri

  • Student in an Organized Health Care Education/Training Program
  • Worcester, MA
  • NPI 1467134460

  CA

  Medicare reassignment Care Compare group NPD
• Tajinder Kaur Kullar, FNP

  • Family Nurse Practitioner
  • Chico, CA
  • NPI 1841768108
  Medicare reassignment Care Compare group
• Jamie Kuttler

  • Physician Assistant
  • Redding, CA
  • NPI 1902202807
  Medicare reassignment Care Compare group
• Michelle E Murillo, PA-C

  • Surgical Physician Assistant
  • Reseda, CA
  • NPI 1952581787
  Medicare reassignment Care Compare group
• Lisa Beletsis

  • Family Nurse Practitioner
  • Oroville, CA
  • NPI 1962797787
  Medicare reassignment NPD
• Jasmine Padda, RN

  • Nurse Practitioner
  • Stockton, CA
  • NPI 1306355839
  Medicare reassignment NPD
• Vanessa Patrick, P.A.

  • Physician Assistant
  • Willows, CA
  • NPI 1437212461
  Medicare reassignment NPD
• Sussan Kokinda

  • Sleep Medicine (Internal Medicine) Physician
  • Redding, CA
  • NPI 1780211516
  Medicare reassignment
• Heidi Milton, PA

  • Physician Assistant
  • Salinas, CA
  • NPI 1710652565
  Medicare reassignment
• Andrew P Terhune, PA-C

  • Physician Assistant
  • Roseville, CA
  • NPI 1518316405
  Medicare reassignment

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1538564463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034031",
            "telephone_number": "415-927-4990",
            "fax_number": "415-927-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034031",
            "telephone_number": "415-927-4990",
            "fax_number": "415-927-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SLEEP CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "RAZAVI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-927-4990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Psychiatry & Neurology) Physician in Redding, CA
• Providers in Redding, CA by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.