Individual provider Active NPI

Debra Beth Luftman, MD

  • Dermatology Physician
  • Calabasas, CA
National Provider Identifier
1063524270
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
GO65273 Issued in CA
Practice address
23975 Park Sorrento
Suite 355
Calabasas, CA 91302-4015
Phone
(818) 222-2055
Fax
(818) 222-2967
NPI assigned
Sep 1, 2006
Last updated
Apr 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X GO65273 CA Primary

Addresses

Primary practice location

23975 Park Sorrento
Suite 355
Calabasas, CA 91302-4015

Mailing address

23975 Park Sorrento
Suite 355
Calabasas, CA 91302-4015
Phone (818) 222-2055

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
I20090106000699 CA Practitioner - Dermatology 9931262615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

24025 Park Sorrento
Suite 405
Calabasas, CA 91302-4037
Phone (818) 222-2055

4201 Torrance Blvd
Suite 640
Torrance, CA 90503-4524
Phone (310) 543-4444

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions623
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GO65273CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Nov 1, 2019 Accepting new patients
Montage Medical Group Past Accepting new patients

Locations

9675 Brighton Way
Ste 350
Beverly Hills, CA 90210
Phone (310) 205-5557

416 N Bedford Dr
Ste 100
Beverly Hills, CA 90210
Phone (305) 951-6543

24025 Park Sorrento
Ste 405
Calabasas, CA 91302
Phone (818) 222-2055

23975 Park Sorrento
Ste 355
Calabasas, CA 91302
Phone (818) 222-2055

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1063524270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23975 PARK SORRENTO",
            "address_2": "SUITE 355",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024015",
            "telephone_number": "818-222-2055",
            "fax_number": "818-222-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23975 PARK SORRENTO",
            "address_2": "SUITE 355",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024015",
            "telephone_number": "818-222-2055",
            "fax_number": "818-222-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUFTMAN",
        "first_name": "DEBRA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "GO65273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.