| Jackson Fraser, PA | |
|
28720 Roadside Dr, Suite 399, Agoura Hills, CA 91301-3316 | |
| (818) 575-9501 | |
| (818) 575-9052 |
| Full Name | Jackson Fraser |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 28720 Roadside Dr, Agoura Hills, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841540721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA22498 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hmts Inc | 1951750413 | 118 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Entity Name | Hoag Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936 |
| Entity Name | Hmts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326828575 PECOS PAC ID: 1951750413 Enrollment ID: O20231208001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Fraser, PA 28720 Roadside Dr, Suite 399, Agoura Hills, CA 91301-3316 Ph: (818) 575-9501 | Jackson Fraser, PA 28720 Roadside Dr, Suite 399, Agoura Hills, CA 91301-3316 Ph: (818) 575-9501 |
Michelle Rebecca Fouladian, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29229 Canwood St Ste 112, Agoura Hills, CA 91301 Phone: 818-501-7276 |
Mrs. Tana Marie Richter, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28240 Agoura Rd, Suite #102, Agoura Hills, CA 91301 Phone: 818-706-9690 Fax: 818-706-9692 |
Ms. Hanna Boparai, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30954 Lobo Canyon Rd, Agoura Hills, CA 91301 Phone: 747-284-5700 |
Raquel Sharaf, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28038 Dorothy Dr Ste 200, Agoura Hills, CA 91301 Phone: 747-309-9619 |
Richard Gregory, MPSA, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29039 Hollow Oak Ct, Agoura Hills, CA 91301 Phone: 818-438-7882 |
Justin Smith, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6148 Lake Lindero Dr, Agoura Hills, CA 91301 Phone: 818-292-1768 |
Marie-claire Schillinger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 29229 Canwood St Ste 112, Agoura Hills, CA 91301 Phone: 818-501-7276 |