| Dr Jonathan William Fraser, MD | |
|
5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 | |
| (714) 257-6170 | |
| (714) 637-0212 |
| Full Name | Dr Jonathan William Fraser |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952861676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A179077 (California) | Primary |
| Entity Name | Marque Medical Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538466107 PECOS PAC ID: 9537345665 Enrollment ID: O20110525000301 |
| Entity Name | Cornerhealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194577981 PECOS PAC ID: 8820522006 Enrollment ID: O20241111001663 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan William Fraser, MD 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 Ph: (714) 257-6170 | Dr Jonathan William Fraser, MD 5630 E Santa Ana Canyon Rd Ste 100, Anaheim, CA 92807-3122 Ph: (714) 257-6170 |
Dino A. Imperial, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Lance C. Brunner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Marites Mcmurtrey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Steven Chao, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 408 S Beach Blvd, Suite 106, Anaheim, CA 92804 Phone: 714-995-5471 Fax: 714-995-5815 | |
Edmond K Chu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3055 W Orange Ave Ste 202, Anaheim, CA 92804 Phone: 714-952-0203 Fax: 714-952-1387 | |
Warren U. Wong, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 | |
Jeff D. Tracy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807 Phone: 888-988-2800 |