Active NPI
Goodnite Sleep Solution, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Redlands, CA
National Provider Identifier
1700335809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- GOODNITE SLEEP SOLUTION, LLC
- Practice address
- 1902 Orange Tree LN Ste 160
Redlands, CA 92374-4527 - Phone
- (909) 904-3387
- Fax
- (909) 614-8080
- NPI assigned
- Sep 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Virginia N. Nicolas, RESPIRATORY THERAPY
- Title
- Ceo
- Phone
- (909) 904-3387
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
1902 Orange Tree LN Ste 160
Redlands, CA 92374-4527
Mailing address
29030 Easton LN
Highland, CA 92346-7752
Phone (909) 904-3387
Other practice location 1
600 N Mountain Ave Ste C103
Upland, CA 91786-4359
Phone (909) 335-0335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191219002676 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6709210040 | Practice locations: Redlands, CA |
| O20241031000017 | CA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 6709210040 | Practice locations: Upland, CA |
National Provider Directory
National Provider DirectoryLocations
600 N Mountain Ave
Ste C103
Upland, CA 91786
Phone (909) 335-0335
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Respiratory Therapist
- Redlands, CA
- NPI 1376092882
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1447447818
-
- Certified Respiratory Therapist
- Las Vegas, NV
- NPI 1609583129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724630400000",
"number": "1700335809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29030 EASTON LN",
"city": "HIGHLAND",
"state": "CA",
"postal_code": "923467752",
"telephone_number": "909-904-3387",
"fax_number": "909-614-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 ORANGE TREE LN STE 160",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923744527",
"telephone_number": "909-904-3387",
"fax_number": "909-614-8080"
}
],
"practiceLocations": [
{
"address_1": "600 N Mountain Ave Ste C103",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864359",
"country_code": "US",
"telephone_number": "909-335-0335",
"fax_number": "909-335-0337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOODNITE SLEEP SOLUTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-30",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A",
"authorized_official_last_name": "NICOLAS",
"authorized_official_first_name": "VIRGINIA",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-904-3387",
"authorized_official_credential": "RESPIRATORY THERAPY"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.