Individual provider Active NPI

Frank Richard Noodleman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Saratoga, CA
National Provider Identifier
1285772152
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G42229 Issued in CA
Practice address
18988 Cox Ave
Saratoga, CA 95070-4154
Phone
(408) 253-4407
Fax
(408) 253-4499
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G42229 CA
MOHS-Micrographic Surgery Physician 207ND0101X G42229 CA Primary

Addresses

Primary practice location

18988 Cox Ave
Saratoga, CA 95070-4154

Mailing address

525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone (650) 969-5600

Other practice location 1

204 Green Valley Rd
Freedom, CA 95019-3135
Phone (831) 728-2005

Other practice location 2

114 E Romie Ln
Salinas, CA 93901-3126
Phone (831) 757-1007

Other practice location 3

9460 N Name Uno Ste 210
Gilroy, CA 95020-3532
Phone (408) 847-0888

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
I20080307000180 CA Practitioner - Dermatology 7113017724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Minnesota Medical School, 1979
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)

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision125
Removal of tissue1-10
Removal of skin lesions2143
Removal of skin cancer192
Removal or shaving of skin growth30
Skin biopsy206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G42229CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Csi Medical Group Dermatology CurrentSince Oct 1, 2016 Accepting new patients
El Camino Hospital Past Accepting new patients
California Skin Institute, a Medical Corporation Dermatology PastSince Sep 1, 2024 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
David a South MD & Kim M Albridge MD a Medical Corporation Dermatology Past Accepting new patients

Locations

501 S Shore Ctr W
Ste 103A
Alameda, CA 94501
Phone (510) 227-7028

3803 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 559-0988

204 Green Valley Rd
Freedom, CA 95019
Phone (408) 728-2005

9460 No Name Uno
Ste 210
Gilroy, CA 95020
Phone (408) 847-0888

1524 McHenry Ave
Ste 470
Modesto, CA 95350
Phone (209) 525-8292

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

559 Abbott St
#A
Salinas, CA 93901
Phone (831) 422-4500

114 E Romie Ln
Salinas, CA 93901
Phone (831) 422-4500

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

18988 Cox Ave
Saratoga, CA 95070
Phone (408) 253-4407

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

Interoperability endpoints

  • Direct secure messaging: rnoodleman@csinorthca.emadirect.md

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1285772152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR STE 115",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404211",
            "telephone_number": "650-969-5600",
            "fax_number": "650-969-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18988 COX AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704154",
            "telephone_number": "408-253-4407",
            "fax_number": "408-253-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Green Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Freedom",
            "state": "CA",
            "postal_code": "950193135",
            "country_code": "US",
            "telephone_number": "831-728-2005",
            "fax_number": "831-728-3310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 E Romie Ln",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013126",
            "country_code": "US",
            "telephone_number": "831-757-1007",
            "fax_number": "831-757-0352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9460 N Name Uno Ste 210",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950203532",
            "country_code": "US",
            "telephone_number": "408-847-0888",
            "fax_number": "408-847-1257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOODLEMAN",
        "first_name": "FRANK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G42229",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G42229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

Verify at the official NPI Registry.