Active NPI
Jeffrey Robert Frazer, M.D.
- Pediatric Cardiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- A88078
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A880780 | Medicaid | CA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 88078 | CA | MD | Marriage & Family Therapist |
| A88078 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cottage Medical Foundation | Current | Accepting new patients | |
| Cottage Clinical Associates | Pediatrics | Current | 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
- 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.
-
- Clinic/Center
- Santa Barbara, CA
- NPI 1770352130
-
- Multi-Specialty Clinic/Center
- Santa Barbara, CA
- NPI 1235790544
Pediatrics
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Pediatric Cardiology Physician
- San Diego, CA
- NPI 1568529147
Pediatrics
-
- Pediatrics Physician
- San Diego, CA
- NPI 1801959127
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.