Active NPI
Carlos David Frausto, MSPA, PA-C
- Medical Physician Assistant
- Temecula, CA
National Provider Identifier
1720683246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA58908
- Practice address
- 29645 Rancho California Rd Ste 118
Temecula, CA 92591-5285 - Phone
- (951) 506-0187
- Fax
- (951) 506-0189
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA58908 | CA | Primary |
| Physician Assistant | 363A00000X | CA |
Addresses
Primary practice location
29645 Rancho California Rd Ste 118
Temecula, CA 92591-5285
Mailing address
31740 Silk Vine Dr
Winchester, CA 92596-8626
Phone (951) 538-6400
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: No
- Opted out of Medicare
- Yes, effective Feb 12, 2026 through Feb 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA58908 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1720683246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31740 SILK VINE DR",
"city": "WINCHESTER",
"state": "CA",
"postal_code": "925968626",
"telephone_number": "951-538-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29645 RANCHO CALIFORNIA RD STE 118",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925915285",
"telephone_number": "951-506-0187",
"fax_number": "951-506-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAUSTO",
"first_name": "CARLOS",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MSPA, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA58908",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.