PREMIER ENT A MEDICAL CORP
NPI 1992903686
Specialist in Redlands, CA

Active since July 05, 2007
255 TERRACINA BLVD, SUITE 201, REDLANDS, CA 92373(909) 793-2500(951) 845-2181 Get Directions Write a Review

NPPES record last updated: December 1, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Ent A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER ENT A MEDICAL CORP (NPI 1992903686) is a healthcare organization registered as a specialist in Redlands, California and active in the NPI registry since July 2007. The organization lists Sharen Knudsen Jeffries, Owner, as its authorized official.

NPPES Registry Identity

NPI1992903686
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER ENT A MEDICAL CORP
Location Address255 TERRACINA BLVD, SUITE 201Redlands, CA 92373-4870
Mailing Address255 Terracina Blvd, Suite 201Redlands, CA 92373-4870 · (909) 793-2500 · Fax (951) 845-2181
Fax(951) 845-2181
Organization SubpartNo
Authorized OfficialSharen Knudsen JeffriesOwner · (909) 793-2500
Enumeration DateJuly 5, 2007
Last NPPES UpdateDecember 1, 2008
✔ NPI 1992903686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A50970
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
255 TERRACINA BLVD, Redlands, CA 92373

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Ent A Medical Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Ent A Medical Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Otolaryngology
NPI 1386643534
255 TERRACINA BLVD SUITE 201
Redlands, CA 92373
(909) 793-2500
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Ent A Medical Corp's NPI number?

The NPI number for Premier Ent A Medical Corp is 1992903686. It was assigned to this organization in the NPPES registry on July 5, 2007.

Where is Premier Ent A Medical Corp located?

Premier Ent A Medical Corp is located at 255 Terracina Blvd Suite 201, Redlands, CA 92373. The listed phone number is (909) 793-2500.

What is Premier Ent A Medical Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Premier Ent A Medical Corp enrolled in Medicare?

Yes. Premier Ent A Medical Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Ent A Medical Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Premier Ent A Medical Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Ent A Medical Corp was last updated on December 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.