Healthcare Provider Details

I. General information

NPI: 1568308575
Provider Name (Legal Business Name): SLEEP CLINICS OF CALIFORNIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 SW 11TH AVE STE 303
PORTLAND OR
97205-2621
US

IV. Provider business mailing address

PO BOX 6486
RICHMOND VA
23230-0486
US

V. Phone/Fax

Practice location:
  • Phone: 804-269-8291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: IKSHVANKU BAROT
Title or Position: OWNER
Credential: MD
Phone: 804-269-8291