Active NPI
Sahaile Kristoffersen, DO
- Family Medicine Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A9009
- Practice address
- 1035 Placer St
Redding, CA 96001-1125 - Phone
- (530) 246-5710
- Fax
- (530) 241-7838
- NPI assigned
- Aug 10, 2006
- Last updated
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9009 | CA | Primary |
Addresses
Primary practice location
1035 Placer St
Redding, CA 96001-1125
Mailing address
PO Box 992790
Redding, CA 96099-2790
Phone (530) 246-5710
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Rancheria | Current | Accepting new patients | |
| Redding Rancheria | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1441 Liberty St
Redding, CA 96001
Phone (530) 224-2700
3184 Churn Creek Rd
Redding, CA 96002
Phone (530) 224-2700
4174 Ashby Ct
Shasta Lake, CA 96019
Phone (530) 224-2700
81 Arbuckle Ct
Weaverville, CA 96093
Phone (530) 623-0021
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1104859354
-
dba Redding Rancheria Center for Advanced Care
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1780423244
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489017600000",
"number": "1265443972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 992790",
"city": "REDDING",
"state": "CA",
"postal_code": "960992790",
"telephone_number": "530-246-5710",
"fax_number": "530-241-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011125",
"telephone_number": "530-246-5710",
"fax_number": "530-241-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTOFFERSEN",
"first_name": "SAHAILE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2017-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.