Ivan A. Fras, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G76024 Issued in CA

Practice address

637 Lucas Ave
Suite 402
Los Angeles, CA 90017-1912

Phone

(213) 977-2435

Fax

(213) 481-1509

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurology

Education

Warren Alpert Medical School of Brown University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1780877613
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• East Sunset Imaging Inc

  • Radiology Clinic/Center
  • Los Angeles, CA
  • NPI 1578590584
  NPD (past)
• Usc Neurologists, Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1386685568
  NPD (past)
• Neurological Assoc of Neny PC

  • Neurology Physician
  • Schenectady, NY
  • NPI 1497857627
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1649358136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17959",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171912",
            "telephone_number": "213-977-2435",
            "fax_number": "213-481-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 LUCAS AVE",
            "address_2": "SUITE 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171912",
            "telephone_number": "213-977-2435",
            "fax_number": "213-481-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAS",
        "first_name": "IVAN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G76024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G760240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Franks, MD
• Jon D Franks, D.C.
• Vincent Franks
• Camille E. J. Frantz
• Daniel Franz, PHD
• Jordin Michelle Frasch, BSN, RN
• Colton Michael Fraser
• Judith Sharon Fraser, M.A., MFT
• Leandra Ann Fraser, MD
• Sara Fraser

• Neurology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.