Active NPI
Specialized Sleep Diagnostics, LLC
- Sleep Disorder Diagnostic Clinic/Center
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- SPECIALIZED SLEEP DIAGNOSTICS, LLC
- Practice address
- 8303 Sierra College Blvd Ste 109B
Roseville, CA 95661-9420 - Phone
- (916) 337-5502
- Fax
- (916) 258-7277
- NPI assigned
- Jan 4, 2017
- Last updated
- Jun 8, 2023
- 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
- Charles Tolbert, RPSGT
- Title
- Manager
- Phone
- (916) 872-1426
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
8303 Sierra College Blvd Ste 109B
Roseville, CA 95661-9420
Mailing address
PO Box 6803
Folsom, CA 95763-6803
Phone (916) 872-1426
National Provider Directory
National Provider DirectoryLocations
8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Other Specialist/Technologist
- Roseville, CA
- NPI 1558611137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686182400000",
"number": "1932644655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6803",
"city": "FOLSOM",
"state": "CA",
"postal_code": "957636803",
"telephone_number": "916-872-1426",
"fax_number": "916-258-7277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 SIERRA COLLEGE BLVD STE 109B",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956619420",
"telephone_number": "916-337-5502",
"fax_number": "916-258-7277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALIZED SLEEP DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-04",
"last_updated": "2023-06-08",
"certification_date": "2023-06-08",
"status": "A",
"authorized_official_last_name": "TOLBERT",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "916-872-1426",
"authorized_official_credential": "RPSGT"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.