Organization Active NPI

Jeffrey Felgner MD, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Costa Mesa, CA
National Provider Identifier
1730759754
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JEFFREY FELGNER MD, P.C.
Practice address
1998 Orange Ave
Costa Mesa, CA 92627-2238
Phone
(858) 735-6258
NPI assigned
Jun 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Dr. Jeffrey Steven Felgner, MDNPI 1790122497
Title
Owner
Phone
(858) 735-6258

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X Primary

Addresses

Primary practice location

1998 Orange Ave
Costa Mesa, CA 92627-2238

Mailing address

1998 Orange Ave
Costa Mesa, CA 92627-2238
Phone (858) 735-6258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210930000161 CA Part B Supplier - Clinic/Group Practice 9739586942 Receives reassigned benefits from 1 practitioner
Practice locations: Costa Mesa, CA

National Provider Directory

National Provider Directory

Locations

76 W Ridgewood Ave
Ridgewood, NJ 07450
Phone (201) 444-9985

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1730759754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 ORANGE AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272238",
            "telephone_number": "858-735-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 ORANGE AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272238",
            "telephone_number": "858-735-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY FELGNER MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "FELGNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-735-6258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.