Jeffrey Robert Frazer, MD | |
8001 Frost St, Entrance 9, San Diego, CA 92123-2746 | |
(858) 966-5855 | |
Not Available |
Full Name | Jeffrey Robert Frazer |
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Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 8001 Frost St, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144378852 | NPI | - | NPPES |
00A880780 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A88078 (California) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | A88078 (California) | Primary |
Entity Name | Cottage Clinical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235790544 PECOS PAC ID: 0345625950 Enrollment ID: O20220919001496 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Robert Frazer, MD 3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800 Ph: (858) 309-6303 | Jeffrey Robert Frazer, MD 8001 Frost St, Entrance 9, San Diego, CA 92123-2746 Ph: (858) 966-5855 |
Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Katherine N. Nyman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3010 Childrens Way, San Diego, CA 92123 Phone: 858-966-5818 | |
Dr. Peter Hyun-soo Kim, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8695 Spectrum Center Blvd # 4004, San Diego, CA 92123 Phone: 858-499-4416 | |
Dr. Paula Grayson, Pediatrics Medicare: Medicare Enrolled Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7969 | |
Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785 | |
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847 | |
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082 |