Individual provider Active NPI

Bruce M Saal, M.D.

  • Dermatology Physician
  • Los Gatos, CA
National Provider Identifier
1073612867
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
00352480 Issued in CA
Practice address
777 Knowles Dr. #16
Los Gatos, CA 95032
Phone
(408) 374-1320
Fax
(408) 374-3480
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 00352480 CA Primary

Addresses

Primary practice location

777 Knowles Dr. #16
Los Gatos, CA 95032

Mailing address

777 Knowles Dr # 16
Los Gatos, CA 95032-1417
Phone (408) 374-1320

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
I20081013000194 CA Practitioner - Dermatology 9234207697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce M Saal MD a Medical CorporationGroup PAC ID 6204088172, 2 clinicians

Practice addresses (Care Compare)

777 Knowles Dr
Suite 16
Los Gatos, CA 95032-1448
Phone (408) 374-1320

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as individual
Quality
81.55
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions662
Removal or shaving of skin growth1-10
Skin biopsy62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00352480CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce M Saal, MD a Medical Corporation Dermatology CurrentSince Nov 1, 2012 Accepting new patients
Bruce M Saal Ms, Inc Dermatology Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

777 Knowles Dr
Ste 16
Los Gatos, CA 95032
Phone (408) 374-1320

Interoperability endpoints

  • Direct secure messaging: karen@losgatosdermatology.providersdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1073612867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR # 16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-374-1320",
            "fax_number": "408-374-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR. #16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "95032",
            "telephone_number": "408-374-1320",
            "fax_number": "408-374-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAL",
        "first_name": "BRUCE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "00352480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.