Individual provider Active NPI

Mary Elizabeth Frank, M.D.

  • Family Medicine Physician
  • Rohnert Park, CA
National Provider Identifier
1174536023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G35302 Issued in CA
Practice address
1450 Medical Center Dr
Suite 3
Rohnert Park, CA 94928-2924
Phone
(707) 584-8588
Fax
(707) 584-2869
NPI assigned
Aug 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G35302 CA Primary

Addresses

Primary practice location

1450 Medical Center Dr
Suite 3
Rohnert Park, CA 94928-2924

Mailing address

1450 Medical Center Dr
Suite 3
Rohnert Park, CA 94928-2924
Phone (707) 584-8588

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

LicenseStateTypeSpecialty
G35302CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Faculty Medical Group Inc Past Accepting new patients
Primary Care Associates of the Redwood Empire Medical Group, Inc. Family Medicine Past Accepting new patients

Organizations & group practices 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174536023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 MEDICAL CENTER DR",
            "address_2": "SUITE 3",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282924",
            "telephone_number": "707-584-8588",
            "fax_number": "707-584-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MEDICAL CENTER DR",
            "address_2": "SUITE 3",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282924",
            "telephone_number": "707-584-8588",
            "fax_number": "707-584-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G35302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

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.

Verify at the official NPI Registry.