Dr Ezra Theodore Fraser, MD - Medicare Diagnostic Radiology in Hermosa Beach, CA

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Dr Ezra Theodore Fraser, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Hermosa Beach, California. He went to University Of California, San Francisco School Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Golden State Imaging Associates Inc, Specialists In Medical Imaging Sc, Regents Of The Univ Of Ca, Regents Of The University Of California, Atlantic Radiology Associates Llc, Renaissance Imaging Medical Associates Inc, Virtual Radiologic Professionals Of California Pa and his current practice location is 421 30th St, Hermosa Beach, California. You can reach out to his office (for appointments etc.) via phone at (415) 902-5621.

Dr Ezra Theodore Fraser is licensed to practice in California (license number A112170) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023240561.

Contact Information

Dr Ezra Theodore Fraser, MD
421 30th St,
Hermosa Beach, CA 90254-2131
(415) 902-5621
Not Available

Map and Direction




Physician's Profile

Full NameDr Ezra Theodore Fraser
GenderMale
SpecialityDiagnostic Radiology
Experience22 Years
Location421 30th St, Hermosa Beach, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ezra Theodore Fraser attended and graduated from University Of California, San Francisco School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1023240561
  • Provider Enumeration Date: 08/18/2009
  • Last Update Date: 11/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870761133
  • Enrollment ID: I20110713000140

Medical Identifiers

Medical identifiers for Dr Ezra Theodore Fraser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023240561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology A112170 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology A112170 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of California Davis Medical CenterSacramento, CAHospital
Providence Saint Joseph Medical CtrBurbank, CAHospital
Lakewood Regional Medical CenterLakewood, CAHospital
Antelope Valley HospitalLancaster, CAHospital
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan diego, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Golden State Imaging Associates Inc1254761315194
Specialists In Medical Imaging Sc2163733544205
Regents Of The Univ Of Ca33754566191468
Regents Of The University Of California35774767611890
Atlantic Radiology Associates Llc5799706032112
Renaissance Imaging Medical Associates Inc7315841756119
Virtual Radiologic Professionals Of California Pa771998934257

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ezra Theodore Fraser allows following entities to bill medicare on his behalf.
Entity NameRegents Of The Univ Of Ca
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013906973
PECOS PAC ID: 3375456619
Enrollment ID: O20031111000892
Entity NameRenaissance Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20031126000257
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558463927
PECOS PAC ID: 3577476761
Enrollment ID: O20040107000584
Entity NameCentinela Radiology Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861475352
PECOS PAC ID: 3476440215
Enrollment ID: O20040304000414
Entity NameClaremont Imaging Associates A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619068921
PECOS PAC ID: 9133170442
Enrollment ID: O20050203000703
Entity NameDowney Radiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528012945
PECOS PAC ID: 6406802743
Enrollment ID: O20050329001369
Entity NameAdvanced Imaging Of South Bay Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003866914
PECOS PAC ID: 8628080520
Enrollment ID: O20060614000139
Entity NameVirtual Radiologic Professionals Of California Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881792166
PECOS PAC ID: 7719989342
Enrollment ID: O20070209000351
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20090917000455
Entity NameRadiology Specialists Ltd Marasso-miller
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437196979
PECOS PAC ID: 0143110874
Enrollment ID: O20171011001404
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20180522002986
Entity NameGolden State Imaging Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144872052
PECOS PAC ID: 1254761315
Enrollment ID: O20200414001788
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200701001467
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20200826003152
Entity NameDarin Rentz Do Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689321747
PECOS PAC ID: 7315333853
Enrollment ID: O20220408001009
Entity NameAtlantic Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033136080
PECOS PAC ID: 5799706032
Enrollment ID: O20240903000288

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ezra Theodore Fraser is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ezra Theodore Fraser, MD
421 30th St,
Hermosa Beach, CA 90254-2131

Ph: (415) 902-5621		Dr Ezra Theodore Fraser, MD
421 30th St,
Hermosa Beach, CA 90254-2131

Ph: (415) 902-5621

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.