Active NPI
Jonathan William Fraser, MD
- Family Medicine Physician
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A179077
- Practice address
- 5630 E Santa Ana Canyon Rd Ste 100
Anaheim, CA 92807-3122 - Phone
- (714) 257-6170
- Fax
- (714) 637-0212
- NPI assigned
- Mar 20, 2019
- 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 | A179077 | CA | Primary |
Addresses
Primary practice location
5630 E Santa Ana Canyon Rd Ste 100
Anaheim, CA 92807-3122
Mailing address
5630 E Santa Ana Canyon Rd Ste 100
Anaheim, CA 92807-3122
Phone (714) 257-6170
Other practice location 1
2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Phone (949) 760-9222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2077 Harbor Blvd
Suite 100
Costa Mesa, CA 92627-9384
Phone (949) 740-7117
5630 E Santa Ana Canyon Rd
Anaheim, CA 92807-3122
Phone (714) 602-2400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179077 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Family Medicine | Current | Accepting new patients |
| Marque Medical Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Marque Medical Clinic, Inc | Current | Accepting new patients | |
| Cornerhealth Medical Group Inc | Current | Accepting new patients | |
| Regents of the University of California | Family Medicine | Past | Accepting new patients |
| Providence Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
5630 E Santa Ana Canyon Rd
Ste 100
Anaheim, CA 92807
Phone (714) 257-6170
5630 E Santa Ana Canyon Rd
Anaheim, CA 92807
Phone (714) 257-6170
19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505
2077 Harbor Blvd
Ste 100
Costa Mesa, CA 92627
Phone (949) 740-7117
2077 Harbor Blvd
Ste A
Costa Mesa, CA 92627
Phone (949) 414-2934
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266
2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266
2501 E Chapman Ave
Ste 101
Orange, CA 92869
Phone (714) 628-3300
4490 Fanuel St
Ste 100
San Diego, CA 92109
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Costa Mesa, CA
- NPI 1194577981
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Urgent Care Clinic/Center
- Newport Beach, CA
- NPI 1538466107
Family Medicine
-
- Urgent Care Clinic/Center
- Chula Vista, CA
- NPI 1164303442
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1952861676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 E SANTA ANA CANYON RD STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073122",
"telephone_number": "714-257-6170",
"fax_number": "714-637-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 E SANTA ANA CANYON RD STE 100",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928073122",
"telephone_number": "714-257-6170",
"fax_number": "714-637-0212"
}
],
"practiceLocations": [
{
"address_1": "2075 San Joaquin Hills Rd",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926606505",
"country_code": "US",
"telephone_number": "949-760-9222",
"fax_number": "949-644-4312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRASER",
"first_name": "JONATHAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A179077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.