Physician Compare National (NPI:1982814638)

HEALTHCARE PROVIDER: DEBBIE FROGOZO PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982814638
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456590421
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130624000361
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FROGOZO
	Individual professional last name
Provider First Name	DEBBIE
	Individual professional first name
Provider Middle Name	PEREZ
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	KEN ROTH MD AND ROLF EHLERS MD SAN DIEGO INTERNAL MEDICINE ASSOC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1658368162
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	12
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8765 AERO DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 130
	Group Practice or individual's line 2 address
City	SAN DIEGO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	921231767
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8585410181
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SHARP CORONADO HOSPITAL AND HLTHCR CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050100
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SHARP MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050026
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GROSSMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y