Organization Active NPI

California Sleep Solutions, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Roseville, CA
National Provider Identifier
1679520241
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
CALIFORNIA SLEEP SOLUTIONS, LLC
Practice address
1130 Conroy LN Ste 403
Roseville, CA 95661-4153
Phone
(916) 789-0112
Fax
(916) 789-0529
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Wade A Williams
Title
President
Phone
(916) 789-0112

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 45325 CA

Addresses

Primary practice location

1130 Conroy LN Ste 403
Roseville, CA 95661-4153

Mailing address

1130 Conroy Lane
600
Roseville, CA 95661-4153
Phone (916) 789-0112

Other practice location 1

1641 Creekside Dr Ste 200
Folsom, CA 95630-3831
Phone (916) 789-0112

Other practice location 2

1130 Conroy Ln Ste 401
Roseville, CA 95661-4153
Phone (916) 789-0112

Other practice location 3

2875 50th St
Sacramento, CA 95817-2308
Phone (916) 789-0112

Other practice location 4

1004 Fowler Way Ste 6
Placerville, CA 95667-5746
Phone (916) 789-0112

Other identifiers 4

IdentifierTypeStateIssuer
ZZZ03007ZOtherCABLUE SHIELD
ZZZ13123ZOtherCABLUE SHIELD
ZZZ13125ZOtherCABLUE SHIELD
ZZZ13124ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20100930007283 CA DME Supplier - Medical Supply Company 2860437746 Practice locations: Roseville, CA
O20110331000604 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2860437746 Practice locations: Roseville, CA
O20110722000313 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2860437746 Practice locations: Sacramento, CA
O20180103000519 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2860437746 Practice locations: Placerville, CA
O20190126000016 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2860437746 Practice locations: Dixon, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
California Sleep Solutions1130 Conroy LN, Roseville, CA 95661-4153(916) 789-0112 Continuous Positive Airway Pressure (CPAP) Devices|Respiratory Assist Devices Accepts assignmentParticipating since Dec 8, 2017

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

9230 Bruceville Rd
Elk Grove, CA 95758

1641 Creekside Dr
Ste 200
Folsom, CA 95630

1671 Creekside Dr
Ste 200
Folsom, CA 95630

1004 Fowler Way
Ste 6
Placerville, CA 95667
Phone (530) 303-4004

1320 Court St
Redding, CA 96001
Phone (530) 222-2855

333 Sunrise Ave
Ste 1200
Roseville, CA 95661

1130 Conroy Ln
Ste 403
Roseville, CA 95661

1130 Conroy Ln
Ste 401
Roseville, CA 95661

755 Sunrise Ave
Ste 155
Roseville, CA 95661

1130 Conroy Ln
Ste 600
Roseville, CA 95661

4232 H St
Ste A
Sacramento, CA 95819

4232 H St
#A
Sacramento, CA 95819

4232 H St
Ste B
Sacramento, CA 95819

730 Alhambra Blvd
Ste 222
Sacramento, CA 95816
Phone (916) 512-1976

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1679520241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CONROY LANE",
            "address_2": "600",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614153",
            "telephone_number": "916-789-0112",
            "fax_number": "916-789-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CONROY LN STE 403",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614153",
            "telephone_number": "916-789-0112",
            "fax_number": "916-789-0529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1641 Creekside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303831",
            "country_code": "US",
            "telephone_number": "916-789-0112",
            "fax_number": "916-789-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 Conroy Ln Ste 401",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956614153",
            "country_code": "US",
            "telephone_number": "916-789-0112",
            "fax_number": "916-789-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2875 50th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172308",
            "country_code": "US",
            "telephone_number": "916-789-0112",
            "fax_number": "916-789-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Fowler Way Ste 6",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956675746",
            "country_code": "US",
            "telephone_number": "916-789-0112",
            "fax_number": "916-789-0529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA SLEEP SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-789-0112"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ03007Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13123Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13125Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ13124Z",
            "state": "CA"
        }
    ],
    "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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.