| 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 | (* (Not Available)) | Secondary |
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Mehrdad Razavi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1609857788 PECOS PAC ID: 7911917034 Enrollment ID: I20110107000297 |
| Provider Name | Lisa H Beletsis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962797787 PECOS PAC ID: 9335456185 Enrollment ID: I20150911000876 |
| Provider Name | Angela Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225574833 PECOS PAC ID: 2264715002 Enrollment ID: I20170201002789 |
| Provider Name | Tajinder Kaur Kullar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841768108 PECOS PAC ID: 3971844135 Enrollment ID: I20190416002658 |
| Provider Name | Manjinder Singh Saroya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770273336 PECOS PAC ID: 8123488533 Enrollment ID: I20230717003692 |
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