Look up the most recent NPI and PECOS records

E-Legacy Apc

Family Medicine

Allopathic & Osteopathic Physicians

2900 Bristol St., Building B Suite 201, Costa Mesa, CA 92626-5981

PECOS Enrollment

Based on the most recent information from CMS, provider E-Legacy Apc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1801667597
Provider Type
Organization
Full Name
E-Legacy Apc

Subpart
No
Enumeration Date
1/11/2024
Last Updated
12/10/2025

Contact Information

Practice Location

2900 Bristol St., Building B Suite 201, Costa Mesa, CA 92626-5981

(855) 867-5551

Mailing Location

2900 Bristol St Ste B201, Costa Mesa, CA 92626-5948

(855) 867-5551

Authorized Official

Eppele, Claudia (Ceo)

(855) 867-5551

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 167G00000X	Description Licensed Psychiatric Technician Nursing Service Providers	License Unlisted Issuer
Code 363LP0808X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 163WP0807X	Description Registered Nurse Nursing Service Providers	License Unlisted Issuer
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084B0040X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 2084P0804X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer

E-Legacy Apc

PECOS Enrollment

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