Active NPI
John Frank Fragola Jr., M.D.
- Anesthesiology Physician
- Burbank, CA
National Provider Identifier
1154344778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G49141
- Practice address
- 501 S Buena Vista St
Burbank, CA 91505-4809 - Phone
- (818) 843-5111
- Fax
- (818) 847-3935
- NPI assigned
- Jul 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G49141 | CA | Primary |
Addresses
Primary practice location
501 S Buena Vista St
Burbank, CA 91505-4809
Mailing address
101 S 1St St
1000
Burbank, CA 91502-1938
Phone (818) 845-6206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G491410 | Medicaid | CA | |
| 00G491410 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49141 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154344778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S 1ST ST",
"address_2": "1000",
"city": "BURBANK",
"state": "CA",
"postal_code": "915021938",
"telephone_number": "818-845-6206",
"fax_number": "818-845-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S BUENA VISTA ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054809",
"telephone_number": "818-843-5111",
"fax_number": "818-847-3935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAGOLA",
"first_name": "JOHN",
"middle_name": "FRANK",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G49141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G491410",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G491410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.