Active NPI
Gregory James Frazer, AU.D. , PH.D.
- Audiologist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU651
- Practice address
- 11645 Wilshire Blvd Ste 601a
Los Angeles, CA 90025-1708 - Phone
- (310) 909-0180
- Fax
- (310) 919-3181
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AU651 | CA | |
| Audiologist | 231H00000X | AU651 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd Ste 601a
Los Angeles, CA 90025-1708
Mailing address
11645 Wilshire Blvd
Suite# 600
Los Angeles, CA 90025-1708
Phone (310) 477-5558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0006510 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Wayne State University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11645 Wilshire Blvd
Los Angeles, CA 90025-1708
Phone (310) 477-5558
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651 | CA | MD | Midwife |
| AU651 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Hearing & Balance Center | Specialist | Current | Accepting new patients |
| Hearing Associates, Inc | Specialist | Current | Accepting new patients |
| Pacific Hearing & Balance., Inc | Specialist | Current | Accepting new patients |
| Hearing Associates, Inc. | Specialist | Current | Accepting new patients |
| Pacific Hearing , Inc | Specialist | Current | Accepting new patients |
| Pacific Hearing & Balance, Inc. | Specialist | Past | Accepting new patients |
| Matt Michaels, M.S. | Audiologist | Past | Accepting new patients |
| Saint John'S Health Clinic | Specialist | Past | Accepting new patients |
| Carissa Bennett, Aud, Inc | Audiologist | Past | Accepting new patients |
Locations
3801 Las Posas Rd
Ste 106B
Camarillo, CA 93010
Phone (805) 383-8995
11645 Wilshire Blvd
#601B
Los Angeles, CA 90025
Phone (310) 477-5558
11645 Wilshire Blvd
Ste 601B
Los Angeles, CA 90025
11645 Wilshire Blvd
Ste 601
Los Angeles, CA 90025
Phone (310) 909-0180
11645 Wilshire Blvd
Ste 601A
Los Angeles, CA 90025
Phone (310) 477-5558
4644 Lincoln Blvd
Ste 409
Marina del Rey, CA 90292
Phone (310) 574-1116
18433 Roscoe Blvd
Ste 204
Northridge, CA 91325
Phone (818) 727-7020
1700 N Rose Ave
Ste 460
Oxnard, CA 93030
Phone (805) 983-0395
2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320
11645 Wilshire Blvd
Ste 60
West Los Angeles, CA 90025
Phone (310) 477-5558
11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Hearing and Speech Clinic/Center
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- NPI 1659300499
Specialist
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- Specialist
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- NPI 1770512436
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- NPI 1386670602
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- Glendale, CA
- NPI 1801917547
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- Audiologist
- Glendale, CA
- NPI 1366610008
-
- Specialist
- Santa Monica, CA
- NPI 1336438902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597363200000",
"number": "1023051588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "SUITE# 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-477-5558",
"fax_number": "310-477-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD STE 601A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-909-0180",
"fax_number": "310-919-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZER",
"first_name": "GREGORY",
"middle_name": "JAMES",
"credential": "AU.D. , PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2020-08-14",
"certification_date": "2020-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "AU651",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0006510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.