Individual provider Active NPI

Michael Frazier, M.D.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Westminster, CA
National Provider Identifier
1225396591
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
A127381 Issued in CA
Practice address
14501 Magnolia St Ste 104
Westminster, CA 92683-1307
Phone
(714) 908-4524
Fax
(657) 227-8108
NPI assigned
Apr 24, 2012
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X A127381 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

14501 Magnolia St Ste 104
Westminster, CA 92683-1307

Mailing address

14501 Magnolia St Ste 104
Westminster, CA 92683-1307
Phone (714) 908-4524

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
I20140926002221 CA Practitioner - Psychiatry 8224258132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Geffen School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progeny Psychiatric Clinic a Medical CorporationGroup PAC ID 4688904592, 33 clinicians

Practice addresses (Care Compare)

17782 Cowan
Suite a
Irvine, CA 92614-6041
Phone (949) 722-7118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progeny TMS Corporation CurrentSince Jun 12, 2024 Accepting new patients

Locations

17782 Cowan
Ste A
Irvine, CA 92614

17782 Cowan
Ste D
Irvine, CA 92614
Phone (949) 748-1531

14501 Magnolia St
Ste 104
Westminster, CA 92683
Phone (714) 891-0080

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1225396591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 MAGNOLIA ST STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926831307",
            "telephone_number": "714-908-4524",
            "fax_number": "657-227-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 MAGNOLIA ST STE 104",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926831307",
            "telephone_number": "714-908-4524",
            "fax_number": "657-227-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "A127381",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.