Individual provider Active NPI

Jeffrey Robert Frazer, M.D.

  • Pediatric Cardiology Physician
  • San Diego, CA
National Provider Identifier
1144378852
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A88078 Issued in CA
Practice address
8001 Frost St
Entrance 9
San Diego, CA 92123-2746
Phone
(858) 966-5855
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A88078 CA
Pediatric Cardiology Physician 2080P0202X A88078 CA Primary

Addresses

Primary practice location

8001 Frost St
Entrance 9
San Diego, CA 92123-2746

Mailing address

3860 Calle Fortunada
Suite 210
San Diego, CA 92123-4800
Phone (858) 309-6303

Other identifiers 1

IdentifierTypeStateIssuer
00A880780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000929 CA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 2163490434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Medical FoundationGroup PAC ID 0547600512, 83 clinicians

Practice addresses (Care Compare)

5333 Hollister Ave
Suite 250
Goleta, CA 93111-2466
Phone (805) 879-4240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88078CAMDMarriage & Family Therapist
A88078CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Cottage Clinical Associates Pediatrics CurrentSince Jan 17, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Regents of the University of California Past Accepting new patients
Children'S Specialists of San Diego - Div of Card Pediatrics Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Children'S Specialists of San Diego, Inc. (CSSD) Pediatrics Past Accepting new patients

Locations

2 James Way
Ste 112
Pismo Beach, CA 93449
Phone (805) 556-3037

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

4360 E Main St
#B2A
Ventura, CA 93003

Interoperability endpoints

  • Direct secure messaging: jfrazer81021@scrippshlth.medalliesdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1144378852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234800",
            "telephone_number": "858-309-6303",
            "fax_number": "858-309-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FROST ST",
            "address_2": "ENTRANCE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232746",
            "telephone_number": "858-966-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZER",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A88078",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A88078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A880780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.