Epigenesis

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00G431511 Issued in CA

Legal business name

EPIGENESIS

Practice address

1550 E Washington St
Suite One
Colton, CA 92324-4624

Phone

(909) 370-4400

Fax

(909) 422-1588

NPI assigned

Jul 28, 2011

Organization subpart

No

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

Authorized official

Name

A. J. Rogers, M.D.

Title

Ceo

Phone

(951) 744-4158

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Lucy Eads, PA

  • Medical Physician Assistant
  • Hemet, CA
  • NPI 1760518179
  Medicare reassignment
• Ancel J. Rogers, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Colton, CA
  • NPI 1578673489
  Medicare reassignment

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1124306808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32158 CAMINO CAPISTRANO # A267",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753720",
            "telephone_number": "951-744-4158",
            "fax_number": "951-742-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E WASHINGTON ST",
            "address_2": "SUITE ONE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244624",
            "telephone_number": "909-370-4400",
            "fax_number": "909-422-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIGENESIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "A.",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-744-4158",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "00G431511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanell K Emond, CCAPP CADC-CAS C1514
• Marilou C Encarnacion, PNP
• Obiora Eneh
• Anthony C Enenmoh, MD
• Patrice Kay Engel
• James Corbin Ericson, MD
• Alexander Erwin, MD
• Elizabeth Erwin
• Anthony Phillip Escalera Sr., BA
• Graciela Escobedo

• Surgery Physician in Colton, CA
• Providers in Colton, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.