DR. LEANDRA ANN FRASER MD
NPI 1669995346
Clinic/Center - Student Health in Los Angeles, CA

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment
1200 N. STATE ST., IPT C3F107, LOS ANGELES, CA 90033(323) 409-8848(323) 441-7219 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Nov 18, 2021, Jul 25, 2017 (3 updates tracked since 2017).

About Dr. Leandra Ann Fraser Md NPPES

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

DR. LEANDRA ANN FRASER MD (NPI 1669995346) is an individual student health provider in Los Angeles, California and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1669995346
Entity TypeIndividualFemale
Primary Taxonomy261QS1000X
Provider Legal NameDR. LEANDRA ANN FRASERCredential: MD
Location Address1200 N. STATE ST., IPT C3F107Los Angeles, CA 90033-1029
Mailing Address1200 N. State St., Ipt C3f107Los Angeles, CA 90033-1029 · (323) 409-8848
Fax(323) 441-7219
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 25, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1669995346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1200 N. STATE ST., Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Leandra Ann Fraser Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991124331
PECOS Enrollment IDI20201002002612
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 Reassignment

Medicare enrollment records show Leandra Fraser reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
1200 N. STATE ST., SUITE 1016
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N. STATE ST.
LOS ANGELES, CA 90033
Orthopaedic Surgery
1200 N. STATE ST., DEPT OF ORTHO SRUG - GNH 3900
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N. STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N. STATE ST., CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Leandra Fraser's NPI number?

The NPI number for Leandra Fraser is 1669995346. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Leandra Fraser located?

Leandra Fraser practices at 1200 N. State St. Ipt C3f107, Los Angeles, CA 90033. The listed phone number is (323) 409-8848.

What is Leandra Fraser's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Is Leandra Fraser enrolled in Medicare?

Yes. Leandra Fraser is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Leandra Fraser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leandra Fraser reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, CA). The 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 Leandra Fraser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Leandra Fraser was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.