Active NPI
Craig Lum, D.O.
- Surgery Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 10485
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 2362 |
| Removal of skin lesions | 182 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vohra Wound Physicians of Ca, P.C. | Current | Accepting new patients | |
| Juergen P. Krauthammer, MD, Inc | Surgery | Past | Accepting new patients |
| One Good Hospice Inc | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| One Good Hospice Inc | 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.
-
- Community Based Hospice Care Agency
- Clovis, CA
- NPI 1972190890
W-2 Managing Employee
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.
-
- Family Medicine Physician
- Dinuba, CA
- NPI 1841599339
-
- Surgery Physician
- Fresno, CA
- NPI 1063642866
-
- Community Based Hospice Care Agency
- Clovis, CA
- NPI 1972190890
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Clovis, CA
- NPI 1972190890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.