STEFAN ELAZIER
NPI 1669753240
Family Medicine in Los Banos, CA
About Stefan Elazier NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEFAN ELAZIER (NPI 1669753240) is an individual family medicine provider in Los Banos, California, licensed in California (A109345) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stefan Elazier is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Stefan Elazier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Banos, CA 93635
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Merced, CA 95340
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Rocket Doctor Practice Group PC
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stefan Elazier's NPI number?
The NPI number for Stefan Elazier is 1669753240. It was assigned to this individual provider in the NPPES registry on September 8, 2011.
Where is Stefan Elazier located?
Stefan Elazier practices at 311 W I St, Los Banos, CA 93635. The listed phone number is (209) 826-2222.
What is Stefan Elazier's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stefan Elazier enrolled in Medicare?
Yes. Stefan Elazier is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stefan Elazier's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Elazier reassigns Medicare benefits to 3 organizations: Kd Medical Group Inc (Los Banos, CA), The Noble Group A Medical Corporation (Merced, CA) and Rocket Doctor Practice Group, P.C. (Newport Beach, CA). Each 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 Stefan Elazier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stefan Elazier was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Stefan Elazier · NPI 1669753240
Family Medicine physician in Los Banos, California. Individual provider, active in the CMS NPPES registry since September 8, 2011.
## Identity
- **NPI:** 1669753240 (Entity type: Individual)
- **Enumerated:** September 8, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A109345 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 311 W I ST, Los Banos, CA 93635-3479
- **Phone:** (209) 826-2222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kd Medical Group Inc (NPI 1457522567, Los Banos, CA); The Noble Group A Medical Corporation (NPI 1336220557, Merced, CA); Rocket Doctor Practice Group, P.C. (NPI 1194403642, Newport Beach, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** September 13, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1669753240) · Data from the CMS NPPES public registry.