| Innovative Sleep Centers, Inc. | |
|
1505 Victor Ave Redding CA 96003-4031 | |
| (415) 927-4990 | |
| (415) 927-4999 |
| Full Name | Innovative Sleep Centers, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1505 Victor Ave, Redding, California |
| Authorized Official Name and Position | Mehrdad Razavi (DIRECTOR) |
| Authorized Official Contact | 4159274990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Sleep Centers, Inc. 1505 Victor Ave Redding CA 96003-4031 Ph: (415) 927-4990 | Innovative Sleep Centers, Inc. 1505 Victor Ave Redding CA 96003-4031 Ph: (415) 927-4990 |
| NPI Number | 1538564463 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 12/19/2019 |
| Certification Date | 12/19/2019 |
| Medicare PECOS PAC ID | 8921326760 |
|---|---|
| Medicare Enrollment ID | O20150408000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538564463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | () | Primary |
| Provider Name | Laura Ginoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407883283 PECOS PAC ID: 2365414596 Enrollment ID: I20060810000499 |
| Provider Name | Vanessa R Patrick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437212461 PECOS PAC ID: 4981757382 Enrollment ID: I20090803000427 |
| Provider Name | Mehrdad Razavi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609857788 PECOS PAC ID: 7911917034 Enrollment ID: I20110107000297 |
| Provider Name | Heike a Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871743393 PECOS PAC ID: 1951430453 Enrollment ID: I20150722004406 |
| Provider Name | Lisa H Beletsis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962797787 PECOS PAC ID: 9335456185 Enrollment ID: I20150911000876 |
| Provider Name | Michelle E Murillo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952581787 PECOS PAC ID: 4688798531 Enrollment ID: I20160602001121 |
| Provider Name | Tajinder Kaur Kullar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841768108 PECOS PAC ID: 3971844135 Enrollment ID: I20190416002658 |
| Provider Name | Andrew Paul Terhune |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518316405 PECOS PAC ID: 2264728088 Enrollment ID: I20200702000142 |
| Provider Name | Jamie Marie Kuttler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902202807 PECOS PAC ID: 6901125558 Enrollment ID: I20210723002547 |
| Provider Name | Heidi Milton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710652565 PECOS PAC ID: 1658765250 Enrollment ID: I20220224001694 |
| Provider Name | Kaitlyn Alibrando |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760901763 PECOS PAC ID: 0941565907 Enrollment ID: I20240819000877 |
| Provider Name | Jasmine Padda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306355839 PECOS PAC ID: 2769916634 Enrollment ID: I20241114002164 |
| Provider Name | Devin Silvestri |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467134460 PECOS PAC ID: 9335626001 Enrollment ID: I20260123001806 |
| Provider Name | Sussan Kokinda |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1780211516 PECOS PAC ID: 2264902196 Enrollment ID: I20260601002431 |
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