Organization Active NPI

Frazier Athletics

  • Multi-Specialty Clinic/Center
  • Chatsworth, CA
National Provider Identifier
1497496160
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FRAZIER ATHLETICS
Practice address
9919 Canoga Ave Unit 109
Chatsworth, CA 91311-3002
Phone
(951) 858-9858
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Victoria Boone
Title
Assistant
Phone
(951) 858-9858

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Early Intervention Provider Agency 252Y00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9919 Canoga Ave Unit 109
Chatsworth, CA 91311-3002

Mailing address

9919 Canoga Ave Unit 109
Chatsworth, CA 91311-3002

National Provider Directory

National Provider Directory

Locations

9919 Canoga Ave
Unit 109
Chatsworth, CA 91311
Phone (951) 858-9858

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1497496160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 CANOGA AVE UNIT 109",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9919 CANOGA AVE UNIT 109",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113002",
            "telephone_number": "951-858-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZIER ATHLETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "951-858-9858"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.