Individual provider Active NPI

Bailey Frisch, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1760046742
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0006369 Issued in CO
Practice address
1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205
Phone
(714) 547-5151
NPI assigned
Apr 25, 2019
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0006369 CO Primary

Addresses

Primary practice location

1125 E 17TH St Ste W248
Santa Ana, CA 92701-2205

Mailing address

12700 Park Central Dr Ste 1210
Dallas, TX 75251-1522
Phone (702) 360-2763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200831003273 CO Practitioner - Physician Assistant 3971920398 Reassigns benefits to 1 organization
I20230815003413 CA Practitioner - Physician Assistant 3971920398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Colorado PCGroup PAC ID 8325337330, 65 clinicians

Practice addresses (Care Compare)

1100 Poudre River Dr
Unit a
Fort Collins, CO 80524-3557
Phone (970) 484-3050

2970 Quebec St
Suite 200
Denver, CO 80207-2931
Phone (303) 426-4525

Merit-based Incentive Payment System (MIPS)

Final score
82.78 of 100Reported as group
Quality
80
Promoting interoperability
84
Improvement activities
40
Cost
75.92

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62766CAMDMarriage & Family Therapist
0006369COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc CurrentSince Sep 11, 2023 Accepting new patients
Lorrie J Klein MD Apc PastSince Oct 1, 2003 Accepting new patients
J. Robert West, M.D., Inc Past Accepting new patients
Denver Dermatology Consultants PC Past Accepting new patients

Locations

30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788

1125 E 17th St
Ste W248
Santa Ana, CA 92701
Phone (714) 547-5151

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

Interoperability endpoints

  • Direct secure messaging: bailey.frisch@adcs1.emadirect.md

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1760046742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 PARK CENTRAL DR STE 1210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511522",
            "telephone_number": "702-360-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST STE W248",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012205",
            "telephone_number": "714-547-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISCH",
        "first_name": "BAILEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0006369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.