Individual provider Active NPI

Elizabeth Blaine Fraze, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Palo Alto, CA
National Provider Identifier
1700951092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G42880 Issued in CA
Practice address
1101 Welch Rd
Suite C-5
Palo Alto, CA 94304-1904
Phone
(650) 853-1353
Fax
(650) 853-0560
NPI assigned
Nov 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X G42880 CA Primary

Addresses

Primary practice location

1101 Welch Rd
Suite C-5
Palo Alto, CA 94304-1904

Mailing address

1101 Welch Rd
Suite C-5
Palo Alto, CA 94304-1904
Phone (650) 853-1353

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 Jun 18, 2013 through Jun 18, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42880CAMDGeneral Practice Dentistry
G42880CAMDEndocrinology, Diabetes & Metabolism Physician

Interoperability endpoints

  • Direct secure messaging: elizabeth.fraze@431703195652.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700951092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WELCH RD",
            "address_2": "SUITE C-5",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041904",
            "telephone_number": "650-853-1353",
            "fax_number": "650-853-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WELCH RD",
            "address_2": "SUITE C-5",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041904",
            "telephone_number": "650-853-1353",
            "fax_number": "650-853-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZE",
        "first_name": "ELIZABETH",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G42880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.