Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ezra Theodore Fraser, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1023240561

Dr. Ezra Theodore Fraser, MD is a Diagnostic Radiology in Hermosa Beach, California. Qualified in 2004, 22 years ago. Practices with Golden State Imaging Associates Inc, a 243-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 30th St
Hermosa Beach, CA 90254-2131
Phone: (415) 902-5621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A112170 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence A112170 (CA)

Record details

NPI number1023240561
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2009
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Golden State Imaging Associates Inc — 243 clinicians
Accepts Medicare assignment Not indicated
Practice locations11 on file with Medicare

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