MOTHERLODE SLEEP CENTER INC (NPI# 1093965493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093965493 |
| Entity Type | Organization |
| Organization Name | MOTHERLODE SLEEP CENTER INC |
| Practice Address |
729 Pauline Ct Sonora CA 95370 |
| Practice Telephone | 2095888068 |
| Mailing Telephone | 2095888068 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MR. BRAD LEE BERRYMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 2095888068 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
A79487 | CA | Ambulatory Health Care Facilities |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
A79487 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
729 PAULINE CT |
| City | SONORA |
| State | CA |
| Zip Code | 95370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704244 | Inna Rostker, Dds A PC | Internal Medicine | 109 Stevenson Street Suite 200, San Francisco, CA 94105 | 2019-08-08 |
| 1508215773 | Dr Lisa Shives, Md, PC | Internal Medicine | 1853 Lyndon Rd, San Diego, CA 92103-1644 | 2016-06-08 |
| 1881060499 | Bakersfield Sleep Center | Internal Medicine | 1141 Pacific St Ste F, San Luis Obispo, CA 93401-3307 | 2015-08-18 |
| 1659752798 | Evergreen Sleep Center | Internal Medicine | 2365 Quimby Rd, Suite 210, San Jose, CA 95122-1337 | 2015-06-15 |
| 1073947305 | Advanced Sleep and Gastroenterology Laboratories, Inc | Internal Medicine | 4206 Technology Dr, Suite 2, Modesto, CA 95356-8769 | 2013-08-22 |
| 1558665562 | Puja Anil Thakkar | Internal Medicine | 400 El Cerro Blvd #107, Golden Gate Sleep Centers, Danville, CA 94526-1731 | 2011-01-05 |
| 1770884389 | Justin A. Fu, Md A Medical Corporation | Internal Medicine | 6627 Murrietta Ct, Rancho Cucamonga, CA 91739-9556 | 2010-11-12 |
| 1073746236 | Ravindrachandrashekhar, Md Inc | Internal Medicine | 18523 Corwin Rd Ste C, Apple Valley, CA 92307-2300 | 2009-09-03 |
| 1942447453 | Institute for Sleep Medicine | Internal Medicine | 801 Orange Avenue, Suite 204, Coronado, CA 92118-2663 | 2009-01-21 |
| 1164674248 | Darya Soto Md Inc | Internal Medicine | 100 Rowland Way Ste 300, Novato, CA 94945-5041 | 2008-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.