Active NPI
Craig Norman Creasman, M.D.
- Plastic Surgery Physician
- San Jose, CA
National Provider Identifier
1609839372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- G65665
- Practice address
- 2400 Samaritan Dr
Suite 206
San Jose, CA 95124-3910 - Phone
- (408) 369-9300
- Fax
- (408) 369-9599
- NPI assigned
- Apr 11, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | G65665 | CA | Primary |
Addresses
Primary practice location
2400 Samaritan Dr
Suite 206
San Jose, CA 95124-3910
Mailing address
2400 Samaritan Dr
Suite 206
San Jose, CA 95124-3910
Phone (408) 369-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G65665 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 5, 2017 through May 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65665 | CA | MD | Pharmacist |
| G65665 | CA | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609839372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SAMARITAN DR",
"address_2": "SUITE 206",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243910",
"telephone_number": "408-369-9300",
"fax_number": "408-369-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SAMARITAN DR",
"address_2": "SUITE 206",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243910",
"telephone_number": "408-369-9300",
"fax_number": "408-369-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREASMAN",
"first_name": "CRAIG",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "G65665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G65665",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.