Individual provider Active NPI

Craig Lum, D.O.

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1033301940
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
10485 Issued in CA
Practice address
6057 N 1St St
Suite 105
Fresno, CA 93710-5468
Phone
(559) 446-1065
Fax
(559) 436-8193
NPI assigned
Aug 14, 2007
Last updated
Sep 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 10485 CA Primary

Addresses

Primary practice location

6057 N 1St St
Suite 105
Fresno, CA 93710-5468

Mailing address

6057 N 1St St
Suite 105
Fresno, CA 93710-5468
Phone (559) 446-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000249 CA Practitioner - General SurgeryPractitioner - Family PracticePractitioner - Peripheral Vascular Disease 9234324146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of Ca PCGroup PAC ID 8527245240, 4 clinicians

Practice addresses (Care Compare)

9028 Rose St
Bellflower, CA 90706-6418
Phone (562) 925-4252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue2362
Removal of skin lesions182
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Ca, P.C. CurrentSince Jan 13, 2020 Accepting new patients
Juergen P. Krauthammer, MD, Inc Surgery PastSince Oct 15, 2009 Accepting new patients
One Good Hospice Inc PastSince Dec 18, 2023 Accepting new patients

Locations

350 Calloway Dr
Bldg C
Bakersfield, CA 93312
Phone (661) 587-0182

9028 Rose St
Bellflower, CA 90706
Phone (562) 925-4252

12461 Springdale St
Garden Grove, CA 92845
Phone (714) 933-7560

361 E Grangeville Blvd
Hanford, CA 93230
Phone (559) 582-9221

1617 Ramirez St
Marysville, CA 95901
Phone (530) 742-4311

1275 Crane St
Menlo Park, CA 94025
Phone (510) 481-3206

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

180 N Jackson Ave
San Jose, CA 95116
Phone (408) 253-9034

2566 Treasure Dr
Santa Barbara, CA 93105
Phone (805) 687-0701

2280 Dockery Ave
Selma, CA 93662
Phone (559) 896-4900

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

1449 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 939-5820

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
One Good Hospice IncClovis, CA, CCN B31773 Hospice W-2 Managing Employee Dec 18, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1033301940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6057 N 1ST ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105468",
            "telephone_number": "559-446-1065",
            "fax_number": "559-436-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 N 1ST ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105468",
            "telephone_number": "559-446-1065",
            "fax_number": "559-436-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "CRAIG",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "10485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.