DR. EZRA THEODORE FRASER M.D. NPI 1023240561

NPI Information

  • NPI: 1023240561
  • Provider Name: DR. EZRA THEODORE FRASER, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 421 30TH ST
    HERMOSA BEACH, CA
    ZIP 90254
  • Phone: (415) 902-5621

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NPI Details

DR. Ezra Theodore Fraser, M.D. is a diagnostic radiology radiology in Hermosa Beach, CA with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Ezra Theodore Fraser, M.D. NPI is 1023240561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

421 30TH ST
HERMOSA BEACH, CA
ZIP 90254-131
Phone: (415) 902-5621

The NPI 1023240561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Ct scan of pelvis without contrast (HCPCS:72192)

The enumeration date for this NPI number is 8/18/2009 and was last updated on 11/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyA112170CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyA112170CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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