Active NPI
Helena Culver Fraser, PA-C
- Medical Physician Assistant
- Yucca Valley, CA
National Provider Identifier
1154451664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA11455
- Practice address
- 7281 Dumosa Ave
Suite 3
Yucca Valley, CA 92284-3769 - Phone
- (760) 365-7546
- Fax
- (760) 369-3011
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11455 | CA | |
| Medical Physician Assistant | 363AM0700X | PA11455 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA11455 | CA |
Addresses
Primary practice location
7281 Dumosa Ave
Suite 3
Yucca Valley, CA 92284-3769
Mailing address
74090 El Paseo
Suite 103
Palm Desert, CA 92260-4135
Phone (760) 341-8244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA11455 | Other | CA | MEDICAL LICENSE |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Dermatology Institute | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Corona, CA
- NPI 1740410182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1154451664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74090 EL PASEO",
"address_2": "SUITE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604135",
"telephone_number": "760-341-8244",
"fax_number": "760-369-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7281 DUMOSA AVE",
"address_2": "SUITE 3",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922843769",
"telephone_number": "760-365-7546",
"fax_number": "760-369-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "HELENA",
"middle_name": "CULVER",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11455",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA11455",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA11455",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "PA11455",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.