IVAN A. FRAS (NPI# 1649358136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649358136 |
| Entity Type | Individual |
| Full Name | IVAN A. FRAS |
| Credential | MD |
| Practice Address |
637 Lucas Ave Suite 402 Los Angeles CA 90017-1912 |
| Mailing Address |
Po Box 17959 Los Angeles CA 90017-1912 |
| Practice Telephone | 2139772435 |
| Practice Fax Number | 2134811509 |
| Mailing Telephone | 2139772435 |
| Mailing Fax Number | 2134811509 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-04-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G76024 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G760240 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053587485 | Ivan Michael Fras | Radiology | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2008-05-06 |
| 1962447870 | Ivan Fras | Psychiatry & Neurology | 1 Hawley St, Binghamton, NY 13901-3102 | 2006-06-17 |
| Street Address |
637 LUCAS AVE SUITE 402 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062706 | John T. Yong | Internal Medicine | 637 Lucas Ave, Station One, Los Angeles, CA 90017-1912 | 2006-07-10 |
| 1417351776 | Prisca Ho | Nutritionist | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-10-15 |
| 1629498548 | Coralyn Andrestaylor | Nutritionist | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-04-17 |
| 1073930079 | David Huang Md Radiation Oncologist Inc. | Radiology | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-03-27 |
| 1275962656 | Lady Josae Becerra | Genetic Counselor, MS | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 | 2013-11-05 |
| 1134558794 | Melissa Randall | Genetic Counselor, MS | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 | 2013-11-04 |
| 1922305036 | Linda S. Cowan, Md A Professional Corporation | Medical Genetics | 637 Lucas Ave, #205, Los Angeles, CA 90017-1912 | 2011-02-25 |
| 1083917736 | Deane B. Jacques, M.d., Inc. | Clinic/Center | 637 Lucas Ave, Ste. 501, Los Angeles, CA 90017-1912 | 2010-12-17 |
| 1093017568 | Miriam Rebecca Cohen Gross | Dietitian, Registered | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1912 | 2010-12-03 |
| 1316134802 | Suzanne Mary Eckhardt | Prosthetist | 637 Lucas Ave, Los Angeles, CA 90017-1912 | 2007-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| 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 |
|---|---|---|---|---|
| 1134730906 | West Coast Valley Medical Inc | Psychiatry & Neurology | 3357 Cahuenga Blvd W # 18, Los Angeles, CA 90068-1327 | 2020-08-13 |
| 1427604065 | Hkla Neuropain | Psychiatry & Neurology | 2204 S Bentley Ave Apt 104, Los Angeles, CA 90064-5501 | 2019-08-09 |
| 1851867253 | Eskenazi Neurological Institute | Psychiatry & Neurology | 1033 S Holt Ave Apt 1, Los Angeles, CA 90035-2034 | 2018-10-23 |
| 1629426630 | Ken Fujimura | Psychiatry & Neurology | 1100 N. State St., Cta4e, Los Angeles, CA 90033 | 2016-05-31 |
| 1659735074 | Peony Pak | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 425, Los Angeles, CA 90095-2903 | 2016-04-12 |
| 1972967982 | Anna O Koblik | Psychiatry & Neurology | 710 Westwood Plz # 1-190, Los Angeles, CA 90095-8353 | 2016-04-06 |
| 1699155150 | Kira Lauren Trunzo Dillard | Psychiatry & Neurology | 100 Ucla Medical Plz Ste 425, Los Angeles, CA 90024-6999 | 2015-05-31 |
| 1982099529 | Elif Guler Sozmen | Psychiatry & Neurology | 1624 Camden Ave, Apt 4, Los Angeles, CA 90025-3532 | 2015-03-31 |
| 1497140354 | Le Treice Keiyta Irving | Psychiatry & Neurology | 757 Westwood Plz Fl 6, Los Angeles, CA 90095-1005 | 2015-03-30 |
| 1578975637 | Tatjana Josic | Psychiatry & Neurology | 1200 N State St # C, Los Angeles, CA 90033-1029 | 2014-05-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on IVAN A. FRAS.
| 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.