Organization Active NPI

Specialized Sleep Diagnostics, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Roseville, CA
National Provider Identifier
1932644655
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Charles Tolbert, RPSGTNPI 1558611137
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.