Healthcare Provider Details

I. General information

NPI: 1144378852
Provider Name (Legal Business Name): JEFFREY ROBERT FRAZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 BATH ST FL 2
SANTA BARBARA CA
93105-4324
US

IV. Provider business mailing address

PO BOX 689
SANTA BARBARA CA
93102-0689
US

V. Phone/Fax

Practice location:
  • Phone: 805-879-4240
  • Fax: 805-566-3037
Mailing address:
  • Phone: 805-879-4240
  • Fax: 805-566-3037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA88078
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberA88078
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: