JEFFREY ROBERT FRAZER (NPI# 1144378852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144378852 |
| Entity Type | Individual |
| Full Name | JEFFREY ROBERT FRAZER |
| Credential | M.D. |
| Practice Address |
8001 Frost St Entrance 9 San Diego CA 92123-2746 |
| Mailing Address |
3860 Calle Fortunada Suite 210 San Diego CA 92123-4800 |
| Practice Telephone | 8589665855 |
| Mailing Telephone | 8583096303 |
| Mailing Fax Number | 8583096301 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | A88078 | CA | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A88078 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A880780 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205051695 | Jeffrey Eugene Frazer | Physician Assistant | 4612 17th St, San Francisco, CA 94117-4413 | 2007-04-13 |
| Street Address |
8001 FROST ST ENTRANCE 9 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474561 | James C Perry | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2005-11-17 |
| 1790290393 | Aditi Trivedi | Student in an Organized Health Care Education/Training Program | 8001 Frost St, San Diego, CA 92123-2746 | 2017-12-05 |
| 1902223373 | Clare Eileen Skora | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2014-03-24 |
| 1376972174 | Cheryl Ripp | Nurse Practitioner | 8001 Frost St, San Diego, CA 92123-2746 | 2013-11-02 |
| 1841633914 | Dillon Yungyi Chen | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123 | 2013-04-09 |
| 1174870067 | Olivia Kim Mcmanus | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2012-08-09 |
| 1669759148 | Neggy Rismanchi | Pediatrics | 8001 Frost St, San Diego, CA 92123-2746 | 2011-11-10 |
| 1528353521 | Natalie Mari Guido-estrada | Psychiatry & Neurology | 8001 Frost St, Rady Childrens Hospital of San Diego Specialty Clinics, San Diego, CA 92123-2746 | 2011-06-17 |
| 1154630838 | Amber Leigh Contillo | Nurse Practitioner | 8001 Frost St, San Diego, CA 92123-2746 | 2010-09-29 |
| 1568773984 | Jeffrey Joseph Gold | Psychiatry & Neurology | 8001 Frost St, San Diego, CA 92123-2746 | 2010-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861474561 | James C Perry | Pediatrics | 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | 2005-11-17 |
| 1962974956 | Ian Fraser Golding | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-01-01 |
| 1750891727 | Pediatric Cardiology of San Diego | Pediatrics | 2333 Camino Del Rio S Ste 340, San Diego, CA 92108-3615 | 2017-10-04 |
| 1174902548 | Nicholas Dreger | Pediatrics | 200 W Arbor Dr # Mc8829, San Diego, CA 92103-1911 | 2015-05-19 |
| 1902212459 | Charissa Rae Pockett | Pediatrics | 3020 Childrens Way # Mc5004, San Diego, CA 92123-4223 | 2014-07-05 |
| 1295042653 | Serena Pai-wen Sah | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2010-09-08 |
| 1760707210 | Eleanor Lea Lehnert Schuchardt | Pediatrics | 3020 Childrens Way, San Diego, CA 92123 | 2010-03-27 |
| 1770723520 | Rakesh Singh | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2009-03-05 |
| 1740445311 | Justin Chi-kang Yeh | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-07-23 |
| 1487821815 | Rachel Mccandless | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2008-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.