Noah A Craft, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A76802 Issued in CA

Practice address

3640 Lomita Blvd Ste 301
Torrance, CA 90505-3956

Phone

(310) 405-0693

Fax

(310) 356-9126

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Derm, IncGroup PAC ID 4789001983, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBBCCD

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.

• Good Derm, Inc

  • Dermatology Physician
  • Torrance, CA
  • NPI 1407474273
  Medicare reassignment Care Compare group NPD
• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Direct Dermatology Professionals PC

  • Dermatology Physician
  • Manteca, CA
  • NPI 1417263922
  Medicare reassignment NPD
• Tahoe Carson Valley Medical Group Inc

  • Family Medicine Physician
  • South Lake Tahoe, CA
  • NPI 1508865528
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804

  Dermatology

  NPD
• Harbor-UCLA Medical Foundation, Inc

  • Specialist
  • Torrance, CA
  • NPI 1437253184
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1750351193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 PALMS BLVD",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913852",
            "telephone_number": "310-770-5332",
            "fax_number": "310-781-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 301",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053956",
            "telephone_number": "310-405-0693",
            "fax_number": "310-356-9126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "911 Palms Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902913852",
            "country_code": "US",
            "telephone_number": "310-770-5332",
            "fax_number": "310-781-9328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "NOAH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A76802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A768020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI FOR GOOD DERM INC",
            "identifier": "1407474273",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cozie N Kanemaru & Rosemary Hum PTR
• CP la County S-Ca Hospice, LLC
• CP la County South S-Ca HH, LLC
• Cpi Surgery Center
• CPM Transport LLC
• Craig E Morris D C a Prof Chiropractic Corp Torrance Chiropractic
• Aram Shahmirizadeh Craig, PA-C, MMS, RKT
• Sierra Julia Crandell, PA-C
• Imani Crane
• Tara Crapnell

• Dermatology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.