Stanley Frochtzwajg, M.D.
Individual provider Active NPI Family Medicine Physician · Ventura, CA
NPI 1235215310 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235215310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A33339 (CA)
- Practice address
- 2629 Loma Vista Rd
Ventura, CA 93003-1548 - Phone
- (805) 641-1780
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley Frochtzwajg, M.D. | Past |
Accepting new patients |
Interoperability endpoints
- stanleyfrochtzwajg@mtmg.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A33339 | CA | Yes |
Addresses
Primary practice location
2629 Loma Vista Rd
Ventura, CA 93003-1548
Mailing address
2629 Loma Vista Rd
Ventura, CA 93003-1548
Phone (805) 641-1780
NPI Registry JSON
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235215310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2629 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031548",
"telephone_number": "805-641-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031548",
"telephone_number": "805-641-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROCHTZWAJG",
"first_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A33339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
- Leah Friedman
- Sascha Friend
- Friends of the Elderly
- Julius Frierson
- Rebecca Aranda Fritz
- Melissa Frontuto
- Petros Kostas Frousiakis
- Starleen Frousiakis
- Amanda Frugoli
- Jeanette Frutos
All providers in Ventura, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.