Individual provider Active NPI

Marcia Elana Elfenbaum, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • San Diego, CA
National Provider Identifier
1184640583
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A63369 Issued in CA
Practice address
9246 Lightwave Ave Suite 120
San Diego, CA 92123
Phone
(800) 270-5016
Fax
(800) 680-3626
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A63369 CA Primary

Addresses

Primary practice location

9246 Lightwave Ave Suite 120
San Diego, CA 92123

Mailing address

PO Box 927854
San Diego, CA 92192-7854

Other identifiers 1

IdentifierTypeStateIssuer
00A633690MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080502000442 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 9537248406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63369CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Institutes of Health Behavioral Medicine and Medical Psychology Inc. Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery PastSince May 17, 2017 Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

Interoperability endpoints

  • Direct secure messaging: melfenbaum80979@scrippshlth.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1184640583",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9246 LIGHTWAVE AVE SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "800-270-5016",
            "fax_number": "800-680-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFENBAUM",
        "first_name": "MARCIA",
        "middle_name": "ELANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A63369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A633690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.