Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EPIGENESIS
NPI 1124306808
Surgery in Riverside, CA

Active since July 28, 2011
3390 UNIVERSITY AVE STE 640, RIVERSIDE, CA 92501(951) 744-4158(951) 742-5134 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Jul 13, 2026, Apr 23, 2019 (3 updates tracked since 2019).

About Epigenesis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EPIGENESIS (NPI 1124306808) is a healthcare organization registered as a surgery in Riverside, California and active in the NPI registry since July 2011. The organization lists A. J. Rogers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124306808
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameEPIGENESIS
Location Address3390 UNIVERSITY AVE STE 640Riverside, CA 92501-3314
Mailing Address32158 Camino Capistrano # A267San Juan Capistrano, CA 92675-3720 · (951) 744-4158 · Fax (951) 742-5134
Fax(951) 742-5134
Organization SubpartNo
Authorized OfficialA. J. RogersCeo · (951) 744-4158
Enumeration DateJuly 28, 2011
Last NPPES UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1124306808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · 00G431511
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3390 UNIVERSITY AVE STE 640, Riverside, CA 92501

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Epigenesis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Epigenesis, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1578673489
3390 UNIVERSITY AVE STE 640
Riverside, CA 92501
(951) 744-4158
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Epigenesis's NPI number?

The NPI number for Epigenesis is 1124306808. It was assigned to this organization in the NPPES registry on July 28, 2011.

Where is Epigenesis located?

Epigenesis is located at 3390 University Ave Ste 640, Riverside, CA 92501. The listed phone number is (951) 744-4158.

What is Epigenesis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Epigenesis enrolled in Medicare?

Yes. Epigenesis is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Epigenesis?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Epigenesis. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Epigenesis was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.