Organization Active NPI

Goodnite Sleep Solution, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Redlands, CA
National Provider Identifier
1700335809
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Virginia N. Nicolas, RESPIRATORY THERAPYNPI 1376092882
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)CodeLicenseStatePrimary
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 CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.