Individual provider Active NPI

Jenae Ciuffreda, CSOM, CBBA

  • Specialist
  • Escondido, CA
National Provider Identifier
1154770089
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
240 S Hickory St Ste 207
Escondido, CA 92025-4357
Phone
(760) 580-5769
Fax
(760) 746-4069
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

240 S Hickory St Ste 207
Escondido, CA 92025-4357

Mailing address

240 S Hickory St Ste 207
Escondido, CA 92025-4357
Phone (760) 580-5769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffry Scott Kerbs DDS a Professional Corporation PastSince Aug 21, 2013 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1154770089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S HICKORY ST STE 207",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254357",
            "telephone_number": "760-580-5769",
            "fax_number": "760-746-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S HICKORY ST STE 207",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254357",
            "telephone_number": "760-580-5769",
            "fax_number": "760-746-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUFFREDA",
        "first_name": "JENAE",
        "credential": "CSOM, CBBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.