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DR. SARA FRASER
NPI 1750749644
Psychologist - Clinical in Los Angeles, CA

Active since February 05, 2016Opted out of Medicare · through Oct 2, 2027
4620 HOLLYWOOD BLVD, LOS ANGELES, CA 90027(310) 403-3679 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2016, Feb 5, 2016 (2 updates tracked since 2016).

About Dr. Sara Fraser NPPES

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

DR. SARA FRASER (NPI 1750749644) is an individual clinical provider in Los Angeles, California, licensed in California (PSY19140) and active in the NPI registry since February 2016. She has opted out of Medicare through October 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1750749644
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SARA FRASER
Location Address4620 HOLLYWOOD BLVDLos Angeles, CA 90027-5408
Mailing Address4620a Hollywood BlvdLos Angeles, CA 90027 · (310) 403-3679
Phone(310) 403-3679
Sole ProprietorYes
Enumeration DateFebruary 5, 2016
Last NPPES UpdateSeptember 23, 20162 updates tracked since enumeration
✔ NPI 1750749644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY19140
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4620 HOLLYWOOD BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sara Fraser has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 2, 2023 through October 2, 2027.

Opt-Out Effective DateOctober 2, 2023
Opt-Out In Effect ThroughOctober 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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 20

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

MS. AUTUMN GAEA WOODS M.A., AMFT
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (818) 245-5413
MRS. CLARISSA LYNN GREGUSKA LPCC, ATR
Counselor (Professional)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (262) 441-0686
JEFFREY T BORNSTEIN MS, LPCC
Counselor (Mental Health)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 362-6555
YOBIEL DANIEL KELATI MSW, ACSW
Social Worker (Clinical)
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 451-2746
BONNIE RAE
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (310) 612-2709
ALEXANDRA BRODSKY
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (213) 394-0090
JULIANA FRIEDMAN AMFT
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (424) 252-1125
SARAH JANE CELLA KUTRUMBOS LMFT
Marriage & Family Therapist
4620 HOLLYWOOD BLVD
LOS ANGELES, CA 90027
Los Angeles County (203) 216-4020

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 Sara Fraser's NPI number?

The NPI number for Sara Fraser is 1750749644. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Sara Fraser located?

Sara Fraser practices at 4620 Hollywood Blvd, Los Angeles, CA 90027. The listed phone number is (310) 403-3679.

What is Sara Fraser's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sara Fraser enrolled in Medicare?

No. Sara Fraser has opted out of Medicare through October 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sara Fraser was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.