JEFFREY LYNN FRASER (NPI# 1619930716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619930716 |
| Entity Type | Individual |
| Full Name | JEFFREY LYNN FRASER |
| Credential | MD |
| Practice Address |
751 S Bascom Ave Neurology Department San Jose CA 95128-2604 |
| Mailing Address |
751 S Bascom Ave San Jose CA 95128-2604 |
| Practice Telephone | 4088855580 |
| Mailing Telephone | 4088855000 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G62227 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G622270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740292762 | Jeffrey P Fraser | Family Medicine | 1720 E. Venice Avenue, Venice, FL 34292 | 2006-08-12 |
| 1790792380 | Jeffrey L Fraser | Family Medicine | 2641 S 70th St, Ste A, Lincoln, NE 68506-2912 | 2006-08-03 |
| 1356398622 | Jeffrey Robert Fraser | Physical Therapist | 6298 Veterans Pkwy, Suite 5a, Columbus, GA 31909-6258 | 2006-05-30 |
| 1528029576 | Jeffrey Robert Fraser | Social Worker | 1322 North River Road, Norserv Group, Saint Clair, MI 48079 | 2006-03-29 |
| Street Address |
751 S BASCOM AVE NEUROLOGY DEPARTMENT |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95128-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
| 1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
| 1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
| 1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
| 1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
| 1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
| 1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
| 1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
| 1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
| 1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
| 1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
| 1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
| 1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
| 1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
| 1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
| 1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
| 1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
| 1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
| 1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
| Find all providers in zip 95128 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386987709 | Jennifer Jaehie Choi | Psychiatry & Neurology | 275 Hospital Pkwy Ste 800, San Jose, CA 95119-1143 | 2013-04-03 |
| 1891095964 | Akshay Mahesh Shah | Psychiatry & Neurology | 200 Jose Figueres Ave, Suite 200, San Jose, CA 95116-6204 | 2010-10-23 |
| 1376710301 | Jenelle Asha Jindal | Psychiatry & Neurology | 175 N Jackson Ave Ste 207, San Jose, CA 95116-1909 | 2008-05-08 |
| 1437349412 | Prabhavathi M. Rao | Psychiatry & Neurology | 6963 Starling Valley Dr, San Jose, CA 95120-4176 | 2007-07-26 |
| 1336346733 | Nc Huang Md Phd Neurological Service Inc | Psychiatry & Neurology | 4701 Cherrywood Dr, San Jose, CA 95129-2266 | 2007-06-29 |
| 1376751321 | Said M Ibrahimi | Psychiatry & Neurology | 175 N Jackson Ave Ste 209, San Jose, CA 95116-1909 | 2007-05-21 |
| 1497763536 | Hiep Q. Ngo | Psychiatry & Neurology | 400 Race St, San Jose, CA 95126-3518 | 2006-08-04 |
| 1083638019 | Mohammed Faiz Ahmed | Psychiatry & Neurology | 360 S Clover Ave, San Jose, CA 95128-5118 | 2006-07-26 |
| 1699715672 | Leon L Tan | Psychiatry & Neurology | 751 S.bascom Ave, San Jose, CA 95128 | 2006-06-07 |
| 1780659763 | Panna R Shah | Psychiatry & Neurology | 1887 Monterey Hwy Ste 205, San Jose, CA 95112 | 2006-02-22 |
| Find all providers in SAN JOSE | ||||
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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.