Active NPI
David J Elbaum, M.D.
- Dermatology Physician
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G46033
- Practice address
- 2323 16TH St
Suite #204
Bakersfield, CA 93301-3420 - Phone
- (661) 322-5333
- Fax
- (661) 322-4775
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G46033 | CA | Primary |
Addresses
Primary practice location
2323 16TH St
Suite #204
Bakersfield, CA 93301-3420
Mailing address
2323 16TH St
Suite #204
Bakersfield, CA 93301-3420
Phone (661) 322-5333
Other practice location 1
1700 N Rose Ave Ste 450
Oxnard, CA 93030-7628
Phone (805) 201-7150
Other practice location 2
2438 N Ponderosa Dr Ste C105
Camarillo, CA 93010-2465
Phone (805) 388-2068
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
- Dermatology
- Education
- Stanford University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Stockdale Hwy
Bakersfield, CA 93311-3621
Phone (661) 541-2017
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 |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 337 |
| Removal of skin cancer | 47 |
| Skin biopsy | 103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46033 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sol Dermatology Associates | Dermatology | Current | Accepting new patients |
| Chico Dermatology Inc | Dermatology | Current | Accepting new patients |
| Artius Dermatology Associates, P.C. | Dermatology | Current | Accepting new patients |
| Susan Goodlerner MD Inc | Dermatology | Past | Accepting new patients |
Locations
9500 Stockdale Hwy
Ste 101
Bakersfield, CA 93311
Phone (661) 541-2017
774 East Ave
Chico, CA 95926
Phone (530) 774-2650
573 W Putnam Ave
Porterville, CA 93257
Phone (559) 627-9901
5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871
5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050
3827 N 10th St
Ste 305
McAllen, TX 78501
Phone (956) 682-9894
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- d.elbaum@artiusderm.emadirect.md
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Plaza Healthcare | Skilled nursing facility | Indirect Ownership Interest (0.71%) | Nov 1, 2012 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Scottsdale, AZ
- NPI 1114273778
Indirect Ownership Interest
Organizations & group practices 4
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.
-
- Dermatology Physician
- Hanford, CA
- NPI 1245782291
-
- Dermatology Physician
- Chico, CA
- NPI 1578121570
-
- Dermatology Physician
- Santa Barbara, CA
- NPI 1164391959
-
- Dermatology Physician
- Torrance, CA
- NPI 1487894457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648080000000",
"number": "1982777835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 16TH ST",
"address_2": "SUITE #204",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013420",
"telephone_number": "661-322-5333",
"fax_number": "661-322-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 16TH ST",
"address_2": "SUITE #204",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013420",
"telephone_number": "661-322-5333",
"fax_number": "661-322-4775"
}
],
"practiceLocations": [
{
"address_1": "1700 N Rose Ave Ste 450",
"address_purpose": "LOCATION",
"city": "Oxnard",
"state": "CA",
"postal_code": "930307628",
"country_code": "US",
"telephone_number": "805-201-7150",
"fax_number": "805-278-0137",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2438 N Ponderosa Dr Ste C105",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930102465",
"country_code": "US",
"telephone_number": "805-388-2068",
"fax_number": "805-484-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELBAUM",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2022-03-24",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G46033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.