Luz Anabelle Frausto, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9039 Issued in AZ

Practice address

4545 E. Southern Ave
Suite 103
Mesa, AZ 85206-2677

Phone

(480) 981-6100

Fax

(480) 981-5501

NPI assigned

Nov 12, 2014

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1482/brand/1/csg/1/fhir/r4
• Direct secure messaging: luz.frausto.2@27041.direct.athenahealth.com

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.

• Access Wellness Resources

  dba IntraCare Health Center

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1568116291

  AZ

  Medicare reassignment
• Family Practice Specialists LTD.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1972563187
  NPD (past)
• Sun Lakes Family Physicians LLC

  • Family Medicine Physician
  • Sun Lakes, AZ
  • NPI 1952392581
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1427454800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E. SOUTHERN AVE",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062677",
            "telephone_number": "480-981-6100",
            "fax_number": "480-981-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E. SOUTHERN AVE",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062677",
            "telephone_number": "480-981-6100",
            "fax_number": "480-981-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUSTO",
        "first_name": "LUZ",
        "middle_name": "ANABELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51848",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Franks
• Edward Frantsvog, O.D.
• Richard B Franzen
• Laurie Kaye Frasca, FNP
• Ann L Frasier, RBT
• Elizabeth Victoria Frear
• Mai Frederick
• Deborah Lee Frederickson, SLP
• Traci Frederickson, LMSW
• Jill Annette Fredrickson

• Physician Assistant in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.