Sharen Knudsen Jeffries, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A50970 Issued in CA

Practice address

255 Terracina Blvd
Suite 201
Redlands, CA 92373-4870

Phone

(909) 793-2500

Fax

(909) 798-9495

NPI assigned

Jul 19, 2005

Last updated

Sep 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Sharen Jean Knudsen Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Premier ENT a Medical Corp

  • Specialist
  • Redlands, CA
  • NPI 1992903686
  Medicare reassignment NPD Authorized official
• Sharen Knudsen Jeffries MD PC

  • Medical Specialty Clinic/Center
  • Newport Beach, CA
  • NPI 1649545070
  Authorized official Same address or phone
• William W Goral, MD, Inc

  • Otolaryngology Physician
  • San Bernardino, CA
  • NPI 1538368048
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221868800000",
    "number": "1386643534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "SUITE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-2500",
            "fax_number": "909-798-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD",
            "address_2": "SUITE 201",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-2500",
            "fax_number": "909-798-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "SHAREN",
        "middle_name": "KNUDSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A50970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A509700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAREN",
            "last_name": "KNUDSEN",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanpaulo a. Gonzalez, Licensed Clinical Social Worker Inc. (Jp Gonzalez Counseling, Coaching, and Consultation Services)
• Jeanpaulo Alfonso Gonzalez
• Azadeh Jebelli
• Jeffrey S. Paxman, DDS, a Professional Corporation
• James William Jeffries
• Jeffry Wu O.D. Professional Corporation (State Street Optometry)
• Monica Jenkins, MSN, FNP-C
• Jennifer Cobanov, MD Professional Corporation (My Pediatric Home)
• Jennifer Hayhurst Physician Assistant Apc (Radiant Dermatology)
• Michelle Jensen

• Otolaryngology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.

Verify at the official NPI Registry.