SAHAILE KRISTOFFERSEN (DO) – Family Medicine Physician, NPI 1265443972

SAHAILE KRISTOFFERSEN (DO) is a healthcare provider. based in Redding, California. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 20A9009 (CA). The NPI Number for SAHAILE KRISTOFFERSEN (DO) is 1265443972

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SAHAILE KRISTOFFERSEN (DO)
NPI
1265443972
Phone
(530) 246-5710
Address
1035 PLACER ST
Enumeration Date
10 August 2006
Last Update Date
9 March 2017

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
53022427001740
Graduation Year
2003 (23 years ago)
PAC ID
9638294960
Group Practice PAC ID
7810969847
Professional Enrollment ID
I20100910000019
Address ID
CA960010811RE1441XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Loading map...

Provider Addresses for SAHAILE KRISTOFFERSEN (DO)

  • Shasta Community Health Center, 1035, Placer Street, Redding, Shasta County, California, 96001, United States

    REDDING, CA 960011125

    Phone: (530) 246-5710

    Fax: (530) 241-7838

    Type: Location

  • Jack in the Box, 800, East Cypress Avenue, Redding, Shasta County, California, 96002, United States

    REDDING, CA 960992790

    Phone: (530) 246-5710

    Fax: (530) 241-7838

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2023-09-06 • Largest payer in this snapshot: PFIZER INC. ($25).

Total Amount

$59

General + Research + Ownership

Payments

3

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100910000019IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96001)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810969847View full group profile
NameSpecialtyState
R H E U M A T O L O G YCA
Nurse PractitionerCA
Clinical Social WorkerCA
Endocrinology, Internal Medicine, EndocrinologyCA
Physician AssistantCA
Family PracticeCA
Physician AssistantFL
Marriage And Family TherapistCA
Family Practice, Osteopathic Manipulative MedicineCA
Family Practice, Undersea And Hyperbaric MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm SAHAILE KRISTOFFERSEN (DO)'s NPI?
Yes. SAHAILE KRISTOFFERSEN (DO) is listed with NPI 1265443972 in the public NPI dataset.
Does the file indicate SAHAILE KRISTOFFERSEN (DO) is practicing under active NPI?
Directory data currently reports SAHAILE KRISTOFFERSEN (DO) as active.
What taxonomy line describes SAHAILE KRISTOFFERSEN (DO)?
For research purposes, treat SAHAILE KRISTOFFERSEN (DO) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SAHAILE KRISTOFFERSEN (DO) based?
SAHAILE KRISTOFFERSEN (DO) is tied to Redding, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

DR. EILEEN LYNN MCCALLUM (M.D.)

Family Medicine Physician
1920, California Street, Redding, Shasta County, California, 96001, United States
NPI: 1700881042

YOUR NEIGHBORHOOD HEALTH CLINIC, INC

Family Medicine Physician
3330, Churn Creek Road, Redding, Shasta County, California, 96002, United States
NPI: 1548265069

CYNTHIA REYNOLDS DILLON (M.D.)

Family Medicine Physician
Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
NPI: 1619977527

CARL WOLFER (M.D.)

Family Medicine Physician
Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
NPI: 1922000926

COTTONWOOD MEDICAL GROUP

Family Medicine Physician
Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
NPI: 1568454353

MIRTHA L BALCAZAR (M.D.)

Family Medicine Physician
Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
NPI: 1174515969

GREGORY R KUSIC (M.D.)

Family Medicine Physician
Jack in the Box, Railroad Avenue, Redding, Shasta County, California, 96001, United States
NPI: 1053303842

DR. JEFFREY A BOSWORTH (MD)

Family Medicine Physician
Shasta Community Health Center, 1035, Placer Street, Redding, Shasta County, California, 96001, United States
NPI: 1407840895

DR. USHA REDDY (M.D.)

Family Medicine Physician
3270, Churn Creek Road, Redding, Shasta County, California, 96002, United States
NPI: 1902890320