Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Epigenesis

Organization Surgery Physician · NPI 1124306808

Epigenesis provides Surgery Physician services in Riverside, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

3390 University Ave Ste 640
Riverside, CA 92501-3314
Phone: (951) 744-4158
Fax: (951) 742-5134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 00G431511 (CA)

Record details

NPI number1124306808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official A. Rogers — Ceo · (951) 744-4158
NPI enumeratedJuly 28, 2011
Last updated in NPPESSeptember 28, 2026
Certification dateSeptember 28, 2026
Mailing address32158 Camino Capistrano # A267, San Juan Capistrano, CA 92675-3720

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