Individual provider Active NPI

Paul Fruhner, PA-C

  • Physician Assistant
  • Pasadena, CA
National Provider Identifier
1346628674
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52184 Issued in CA
Practice address
10 Congress St Ste 103
Pasadena, CA 91105-3027
Phone
(626) 796-6164
NPI assigned
May 6, 2015
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52184 CA Primary

Addresses

Primary practice location

10 Congress St Ste 103
Pasadena, CA 91105-3027

Mailing address

10 Congress St Ste 103
Pasadena, CA 91105-3027

Other practice location 1

547 E Union St
Pasadena, CA 91101-1743
Phone (626) 796-6164

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001377 CA Practitioner - Physician Assistant 7618289315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Steven a Battaglia MD IncGroup PAC ID 7416850912, 7 clinicians

Practice addresses (Care Compare)

10 Congress St
Suite 103
Pasadena, CA 91105-3027
Phone (626) 796-6164

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1346628674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST STE 103",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053027",
            "telephone_number": "626-796-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "547 E Union St",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011743",
            "country_code": "US",
            "telephone_number": "626-796-6164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUHNER",
        "first_name": "PAUL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.