Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stefan Elazier

Individual provider Family Medicine Physician · NPI 1669753240

Stefan Elazier is a Family Practice in Los Banos, California. Graduated from Tufts University School of Medicine in 2005, 21 years ago. Practices with Kd Medical Group Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2011
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

311 W I St
Los Banos, CA 93635-3479
Phone: (209) 826-2222
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A109345 (CA)

Record details

NPI number1669753240
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2011
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address311 W I St, Los Banos, CA 93635-3479

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Kd Medical Group Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Banos