Active NPI
Kristelle Lusby
- Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A107784
- Practice address
- 333 City Blvd W
#705
Orange, CA 92868-2903 - Phone
- (714) 456-5532
- NPI assigned
- Jun 13, 2009
- Last updated
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A107784 | CA | Primary |
Addresses
Primary practice location
333 City Blvd W
#705
Orange, CA 92868-2903
Mailing address
6399 San Ignacio Ave Ste 120
San Jose, CA 95119-1215
Phone (408) 369-5620
Other practice location 1
603 S Knickerbocker Dr
Sunnyvale, CA 94087-1034
Phone (408) 736-0441
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Eastern Virginia Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3425 S Bascom Ave
Suite 100
Campbell, CA 95008-7300
Phone (408) 396-1115
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.34 of 100
- Quality
- 90.85
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 71.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 36 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107784 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristelle Lusby MD | Current | Accepting new patients | |
| Csi Medical Group | Current | Accepting new patients | |
| El Camino Hospital | Past | Accepting new patients | |
| Carlsbad and Vista Dermatology, Inc. | Past | Accepting new patients | |
| California Skin Institute, a Medical Corporation | Past | Accepting new patients | |
| El Camino Health Medical Network, LLC | Past | Accepting new patients | |
| Good Samaritan Hospital Ca LTD PTP | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients | |
| St. Mary's Good Samaritan Hospital, Inc. | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| Bernard Recht, PH.D., M.D., Inc. | Past | Accepting new patients |
Locations
501 S Shore Ctr W
Ste 103A
Alameda, CA 94501
Phone (510) 227-7028
3425 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 371-1118
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
909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887
2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600
6399 San Ignacio Ave
Ste 120
San Jose, CA 95119
Phone (408) 369-5620
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
603 S Knickerbocker Dr
Sunnyvale, CA 94087
Phone (408) 736-0441
4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994
1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- klusby@csinorthca.emadirect.md
- klusby43199@icare.elcaminohospital.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic and Reconstructive Surgery Physician
- Campbell, CA
- NPI 1861180259
-
- MOHS-Micrographic Surgery Physician
- San Pedro, CA
- NPI 1871909804
-
- Dermatology Physician
- Sunnyvale, CA
- NPI 1750536934
-
- Dermatology Physician
- Mountain View, CA
- NPI 1154527901
-
- Dermatology Physician
- Vista, CA
- NPI 1124328505
-
dba San Leandro Hospital
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba El Camino Health
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1437103777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1932336278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6399 SAN IGNACIO AVE STE 120",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191215",
"telephone_number": "408-369-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CITY BLVD W",
"address_2": "#705",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682903",
"telephone_number": "714-456-5532"
}
],
"practiceLocations": [
{
"address_1": "603 S Knickerbocker Dr",
"address_purpose": "LOCATION",
"city": "Sunnyvale",
"state": "CA",
"postal_code": "940871034",
"country_code": "US",
"telephone_number": "408-736-0441",
"fax_number": "408-736-0722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUSBY",
"first_name": "KRISTELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-13",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A107784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.