Active NPI
Gordon Cleland Fraser, MD
- Obstetrics & Gynecology Physician
- Inglewood, CA
National Provider Identifier
1922140482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C30690
- Practice address
- 8475 S Van Ness Ave
Ste 104 Gordon C Frazer MD Inc
Inglewood, CA 90305 - Phone
- (323) 752-3327
- Fax
- (323) 751-8470
- NPI assigned
- Feb 13, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C30690 | CA | Primary |
Addresses
Primary practice location
8475 S Van Ness Ave
Ste 104 Gordon C Frazer MD Inc
Inglewood, CA 90305
Mailing address
8475 S Van Ness Ave
Ste 104 Gordon C Frazer MD Inc
Inglewood, CA 90305
Phone (323) 752-3327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC306901 | Medicaid | CA |
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 |
|---|---|---|---|
| C30690 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922140482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8475 S VAN NESS AVE",
"address_2": "STE 104 GORDON C FRAZER MD INC",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "90305",
"telephone_number": "323-752-3327",
"fax_number": "323-751-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8475 S VAN NESS AVE",
"address_2": "STE 104 GORDON C FRAZER MD INC",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "90305",
"telephone_number": "323-752-3327",
"fax_number": "323-751-8470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRASER",
"first_name": "GORDON",
"middle_name": "CLELAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "C30690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OC306901",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.