Individual provider Active NPI

Kristin Ann Seiberling, MD

  • Otolaryngology Physician
  • Redlands, CA
National Provider Identifier
1235283250
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
100910 Issued in CA
Practice address
1895 Orange Tree LN
Redlands, CA 92374-0111
Phone
(909) 558-2002
Fax
(909) 558-2003
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 100910 CA Primary

Addresses

Primary practice location

1895 Orange Tree LN
Redlands, CA 92374-0111

Mailing address

12607 La Solana Dr
Redlands, CA 92373-7456
Phone (909) 553-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081220000127 CA Practitioner - General SurgeryPractitioner - Otolaryngology 9638231939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Otolaryngology
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311

259 Terracina Blvd
Redlands, CA 92373-4847
Phone (909) 793-2634

26780 Barton Rd
Redlands, CA 92373-4308
Phone (909) 558-5174

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

4646 Brockton Ave
Suite 103
Riverside, CA 92506-0103
Phone (909) 558-3111

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100910CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2009 Accepting new patients
Beaver Medical Group P C CurrentSince May 1, 2023 Accepting new patients
Sac Health System Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 1, 2009 Accepting new patients
Sac Health System Otolaryngology CurrentSince Aug 2, 2016 Accepting new patients
Beaver Medical Group P C CurrentSince May 1, 2023 Accepting new patients
Sac Health System Otolaryngology CurrentSince Aug 2, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Loma Linda University Medical Center General Acute Care Hospital Past Accepting new patients
Dignity Health General Acute Care Hospital Past Accepting new patients
Beaver Medical Group P C Past Accepting new patients

Locations

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1895 Orange Tree Ln
Ste 102
Redlands, CA 92374
Phone (909) 558-2600

4646 Brockton Ave
Ste 103
Riverside, CA 92506
Phone (909) 558-2824

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

250 S G St
San Bernardino, CA 92410
Phone (909) 771-2990

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kseiberling22886@epiclp.direct-ci.com
  • Direct secure messaging: kseiberling11042@direct.llu.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1235283250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12607 LA SOLANA DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737456",
            "telephone_number": "909-553-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 ORANGE TREE LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923740111",
            "telephone_number": "909-558-2002",
            "fax_number": "909-558-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERLING",
        "first_name": "KRISTIN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "100910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.