Ezra T Fraser (NPI# 1023240561, PAC ID# 3870761133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1023240561 |
| PAC ID by PECOS | 3870761133 |
| Professional Enrollment ID | I20110713000140 |
| Full Name | Ezra T Fraser |
| Organization Legal Name | VASCULAR INTERVENTION SPECIALISTS, INC. |
| Address |
19231 Victory Blvd Suite 155 Reseda CA 91335-6329 |
| Phone Number | 8189492630 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0547543753 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19231 Victory Blvd, Suite 155, Reseda, CA 91335-6329 | 8189492630 | VASCULAR INTERVENTION SPECIALISTS, INC. |
| 19231 Victory Blvd, Suite 155, Reseda, CA 91335-6329 | 8189492631 | VALLEY VASCULAR PARTNERS, INC. |
| Organization Legal Name | VASCULAR INTERVENTION SPECIALISTS, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Naveen Sharma | Cardiovascular Disease (cardiology) | Vascular Intervention Specialists, Inc. | 5620 Wilbur Ave, Suite 207, Tarzana, CA 91356-1309 |
| Street Address |
19231 VICTORY BLVD SUITE 155 |
| City | RESEDA |
| State | CA |
| Zip | 91335-6329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph I Borden | Podiatry | 19231 Victory Blvd, Suite 204, Reseda, CA 91335-6331 | |
| Jay T Silverman | Chiropractic | 19231 Victory Blvd, Suite 557, Reseda, CA 91335-6379 | |
| Farahnaz Jalali | Chiropractic | 19231 Victory Blvd, Suite 556, Reseda, CA 91335-6383 | |
| Sang Il Kim | Internal Medicine | Sang Il Kim Md,inc | 19231 Victory Blvd, Reseda, CA 91335-6330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sepideh Mohabataeen | Physical Therapy | 7854 Tampa Ave, Reseda, CA 91335-1701 | |
| Leo Polosajian | Cardiovascular Disease (cardiology) | 7640 Tampa Ave, Suite 101, Reseda, CA 91335-1713 | |
| Alfred Glover | Podiatry | West Regional Cardiothoracic and Vascular Surgeons W R Vein Center | 18905 Sherman Way, Reseda, CA 91335-2600 |
| Bert J Vanderbliek | Chiropractic | 7439 Reseda Blvd, Reseda, CA 91335-2819 | |
| Gabriel Y Edery | Chiropractic | 7439 Reseda Blvd, Reseda, CA 91335-2819 | |
| Ilya M Rachman | Internal Medicine | 7601 Canby Ave, Suite 7, Reseda, CA 91335-2974 | |
| Lana Temme | Registered Dietitian Or Nutrition Professional | 7601 Canby Ave, Suite 7, Reseda, CA 91335-2974 | |
| Alla D Rapoport | Oral Surgery | 7601 Canby Ave, Suite 4, Reseda, CA 91335-2978 | |
| Hung V Nguyen | General Practice | 7227 Reseda Blvd, Reseda, CA 91335-3046 | |
| Laura K Ha | Optometry | 7217 Reseda Blvd, Reseda, CA 91335-3046 | |
| Find all physicians in zip 91335 | |||
| City | RESEDA |
| Zip Code | 91335 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | RESEDA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Ezra T Fraser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.