Provider Demographics
NPI:1336288422
Name:EPI, A MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:EPI, A MEDICAL GROUP, INC.
Other - Org Name:ELFERING PAIN INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:E
Authorized Official - Last Name:ELFERING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-925-9581
Mailing Address - Street 1:PO BOX 6329
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93456-6329
Mailing Address - Country:US
Mailing Address - Phone:805-925-9581
Mailing Address - Fax:805-925-5625
Practice Address - Street 1:201 N COLLEGE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-4614
Practice Address - Country:US
Practice Address - Phone:805-739-3244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39374207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ61616ZOtherBLUE SHIELD OF CA GRP PIN
W14918Medicare PIN
DN1368Medicare PIN