Individual provider Active NPI

Jeffrey Steven Felgner, M.D.

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1790122497
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A136023 Issued in CA
Practice address
1998 Orange Ave
Costa Mesa, CA 92627-2238
Phone
(858) 735-6258
NPI assigned
Jun 4, 2013
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A136023 CA 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
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
I20160630001853 CA Practitioner - Family Practice 0648587337 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Mobile Wound CareGroup PAC ID 1557889854, 9 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92801
Phone (562) 388-8458

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136023CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC Family Medicine CurrentSince Nov 9, 2022 Accepting new patients
California PHS PC Family Medicine CurrentSince Oct 29, 2024 Accepting new patients
Jeffrey Felgner MD, P.C. CurrentSince Jun 30, 2021 Accepting new patients
Pacific Mobile Wound Care Family Medicine CurrentSince Mar 26, 2025 Accepting new patients
Carelon Medical Partners, PC PastSince Aug 1, 2019 Accepting new patients
New Place Home Health Care,Inc. PastSince Feb 1, 2024 Accepting new patients

Locations

1100 E Orangethorpe Ave
Ste 252K
Anaheim, CA 92801
Phone (562) 388-8458

1420 E Palomar St
Chula Vista, CA 91913

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arrowhead Hospice IncEncino, CA, CCN B41520 Hospice Contracted Managing Employee
Operational/Managerial Control
Apr 24, 2026
Apr 24, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1790122497",
    "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": {
        "last_name": "FELGNER",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A136023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.