DR. EZRA THEODORE FRASER M.D.
NPI 1023240561
Radiology - Diagnostic Radiology in Hermosa Beach, CA

Q: What is Ezra Fraser's NPI number?

The NPI number for Ezra Fraser is 1023240561. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Q: What is Ezra Fraser's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Ezra Fraser was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2009PECOS Enrolled

421 30TH ST, HERMOSA BEACH, CA 90254(415) 902-5621 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 26, 2026, Nov 11, 2024 (2 updates tracked since 2024).

On this page

About Dr. Ezra Theodore Fraser M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EZRA THEODORE FRASER M.D. (NPI 1023240561) is an individual diagnostic radiology provider in Hermosa Beach, California, licensed in California (A112170) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1023240561

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDR. EZRA THEODORE FRASERCredential: M.D.

Location Address421 30TH STHermosa Beach, CA 90254-2131

Mailing Address421 30th StHermosa Beach, CA 90254-2131 · (415) 902-5621

Phone(415) 902-5621

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 18, 2009

Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2026

✔ NPI 1023240561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · A112170

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License A112170 (CA)

421 30TH ST, Hermosa Beach, CA 90254

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Secondary Practice Location 1

Location 13600 Minnesota Dr Ste 800Edina, MN 55435-7915 · Phone (952) 595-1100 · Fax (612) 294-4903

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ezra Theodore Fraser M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870761133

PECOS Enrollment IDI20110713000140

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Ezra Fraser reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Imaging Of South Bay, Inc.

3.7 mi

Diagnostic Radiology

4101 TORRANCE BLVD
Torrance, CA 90503

Reassigned Medicare billing, California enrollment
35 clinicians in this Medicare group

NPI 1003866914 (310) 303-5750

Centinela Radiology Medical Group

6.1 mi

Diagnostic Radiology

555 E HARDY ST, CENTINELA HOSPITAL MEDICAL CENTER
Inglewood, CA 90301

Reassigned Medicare billing, California enrollment
12 clinicians in this Medicare group

NPI 1861475352 (310) 673-4660

Downey Radiology Associates

16 mi

Diagnostic Radiology

11500 BROOKSHIRE AVE
Downey, CA 90241

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1528012945 (844) 596-6563

Renaissance Imaging Medical Associates, Inc.

25 mi

Diagnostic Radiology

18436 ROSCOE BLVD
Northridge, CA 91325

Reassigned Medicare billing, California enrollment
224 clinicians in this Medicare group

NPI 1487608931 (818) 435-1400

Claremont Imaging Associates, A Medical Corporation

41 mi

Diagnostic Radiology

255 E BONITA AVENUE
Pomona, CA 91769

Reassigned Medicare billing, California enrollment
53 clinicians in this Medicare group

NPI 1619068921 (909) 450-0393

Darin Rentz Do PC

70 mi

Anesthesiology

350 TERRACINA BLVD
Redlands, CA 92373

Reassigned Medicare billing, California enrollment
241 clinicians in this Medicare group

NPI 1689321747 (877) 565-6701

Regents Of The University Of California

105 mi

Diagnostic Radiology

200 W ARBOR DR
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
360 clinicians in this Medicare group

NPI 1558463927 (800) 926-8273

Southern Monterey County Memorial Hospital

223 mi

Critical Access

300 CANAL ST
King City, CA 93930

Reassigned Medicare billing, California enrollment
124 clinicians in this Medicare group

NPI 1114917564 (831) 385-6000

Radiology Specialists Ltd Marasso-Miller

242 mi

Diagnostic Radiology

3186 S MARYLAND PKWY
Las Vegas, NV 89109

Reassigned Medicare billing, California enrollment
30 clinicians in this Medicare group

NPI 1437196979 (702) 961-5000

Regents Of The Univ Of Ca

364 mi

Clinical Child & Adolescent

2825 50TH ST
Sacramento, CA 95817

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1447423959 (916) 703-0315

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

162 services151 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

126 services125 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

76 services76 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

68 services67 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

48 services48 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

40 services40 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

24 services24 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

24 services24 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

16 services16 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

15 services15 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

13 services13 patients

Ct scan of blood vessels of abdomen and pelvis with contrast 74174

A CT scan of the abdomen and pelvis with contrast is a medical imaging procedure. A special dye, called contrast, is used to make blood vessels more visible. The scan produces detailed images of your abdomen and pelvis, helping doctors to diagnose conditions or plan treatments.

13 services13 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110007

Location417 Third AvenueAlbany, GA 31703 · Dougherty County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90254 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezra Fraser's NPI number?

The NPI number for Ezra Fraser is 1023240561. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Ezra Fraser located?

Ezra Fraser practices at 421 30th St, Hermosa Beach, CA 90254. The listed phone number is (415) 902-5621.

What is Ezra Fraser's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ezra Fraser enrolled in Medicare?

Yes. Ezra Fraser is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ezra Fraser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezra Fraser reassigns Medicare benefits to 17 organizations: Advanced Imaging Of South Bay, Inc. (Torrance, CA), Centinela Radiology Medical Group (Inglewood, CA), Downey Radiology Associates (Downey, CA), Renaissance Imaging Medical Associates, Inc. (Northridge, CA), Claremont Imaging Associates, A Medical Corporation (Pomona, CA) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ezra Fraser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ezra Fraser accept?

Health plans from Blue Cross Blue Shield of Arizona and Oscar Health list Ezra Fraser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ezra Fraser affiliated with any hospitals?

According to CMS data, Ezra Fraser is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ezra Fraser was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.