OrganizationActive
Advanced Sleep and Gastroenterology Laboratories, Inc
NPI 1073947305 · Gastroenterology Physician · Modesto, CA
Provider details
- NPI number
- 1073947305
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Davidson, Ceo(209) 751-7165
- License
- G66389 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4206 Technology Dr
Suite 2
Modesto, CA 95356-8769
Phone: (209) 492-0735
Fax: (209) 579-2354
Street-level locationGet directions
Mailing address
Po Box 3068
Ceres, CA 95307-9032
Registry dates
- Enumerated
- 2013-08-22
- Last updated
- 2013-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.