Active NPI
Michael Fraze, M.D
- Family Medicine Physician
- Irvine, CA
National Provider Identifier
1801955711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A69508
- Practice address
- 4870 Barranca Pkwy
110
Irvine, CA 92604-4709 - Phone
- (949) 857-1248
- Fax
- (949) 559-1165
- NPI assigned
- Dec 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A69508 | CA | Primary |
Addresses
Primary practice location
4870 Barranca Pkwy
110
Irvine, CA 92604-4709
Mailing address
PO Box 3699
Newport Beach, CA 92659-8699
Phone (949) 857-1248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69508 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1801955711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3699",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926598699",
"telephone_number": "949-857-1248",
"fax_number": "949-559-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 BARRANCA PKWY",
"address_2": "110",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044709",
"telephone_number": "949-857-1248",
"fax_number": "949-559-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZE",
"first_name": "MICHAEL",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A69508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.