Individual provider Active NPI

Genise Nicole Fraiman, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1598825309
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A79921 Issued in CA
Practice address
9001 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-1840
Phone
(310) 413-5458
NPI assigned
Dec 11, 2006
Last updated
Jul 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A79921 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd Ste 200
Beverly Hills, CA 90211-1840

Mailing address

PO Box 373
Beverly Hills, CA 90213-0373
Phone (310) 413-5458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 13, 2016 through Oct 13, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79921CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: genise.fraiman.1@28318.direct.athenahealth.com
  • Direct secure messaging: genise.fraiman@166203817988.direct.elationemr.com
  • Direct secure messaging: genise.fraiman@4010971693060.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1598825309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902130373",
            "telephone_number": "310-413-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111840",
            "telephone_number": "310-413-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAIMAN",
        "first_name": "GENISE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.