Individual provider Active NPI

Brent Loftis, DO

  • Dermatology Physician
  • Napa, CA
National Provider Identifier
1639348683
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A11845 Issued in CA
Practice address
3230 Beard Rd Ste 2
Napa, CA 94558-3659
Phone
(707) 203-2781
Fax
(707) 203-2782
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SL0513 NV
Dermatology Physician 207N00000X N1740 TX
Dermatology Physician 207N00000X 20A11845 CA Primary

Addresses

Primary practice location

3230 Beard Rd Ste 2
Napa, CA 94558-3659

Mailing address

3230 Beard Rd Ste 2
Napa, CA 94558-3659
Phone (707) 203-2781

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
I20111102000867 CA Practitioner - Dermatology 5092988238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3230 Beard Rd
Suite 2
Napa, CA 94558-3659
Phone (707) 203-2781

Hospital & facility affiliations

  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090

Merit-based Incentive Payment System (MIPS)

Final score
98.5 of 100Reported as individual
Quality
100
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of tissue1-10
Removal of skin lesions970
Removal or shaving of skin growth1-10
Skin biopsy320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL0513NVMDSpecialist
20A11845CAMDDermatology Physician
N1740TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brent Loftis, DO Inc. Dermatology CurrentSince Nov 1, 2011 Accepting new patients

Locations

3230 Beard Rd
Ste 2
Napa, CA 94558
Phone (707) 203-2781

Organizations & group practices 1

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 1

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639348683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BEARD RD STE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583659",
            "telephone_number": "707-203-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 BEARD RD STE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583659",
            "telephone_number": "707-203-2781",
            "fax_number": "707-203-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "SL0513",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N1740",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A11845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.