Marcia Elfenbaum, MD Inc.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

A63369 Issued in CA

Legal business name

MARCIA ELFENBAUM, MD INC.

Practice address

4282 Genesee Ave
Suite 304
San Diego, CA 92117-4963

Phone

(858) 514-4116

Fax

(858) 514-4118

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Marcia Elfenbaum, MD

Title

Owner

Phone

(858) 514-4116

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Xiao-Jiang Qian, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
  • NPI 1649290891
  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1083987051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927854",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921927854",
            "telephone_number": "858-514-4116",
            "fax_number": "858-514-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 GENESEE AVE",
            "address_2": "SUITE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174963",
            "telephone_number": "858-514-4116",
            "fax_number": "858-514-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA ELFENBAUM, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "ELFENBAUM",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-514-4116",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A63369",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A63369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A633690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Marchesano
• Sara Mikel Marchese, M.D.
• Christopher David Marchetta, STUDENT
• Alicia Maude Marchetti
• Katya Marchetti
• Marcia Garceau
• Anahi Marcial
• Daisy Marcial
• Luann Emelia Marcial
• Lani Marciano

• Interventional Pain Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.