PLASTIC AND RECONSTRUCTIVE SURGERY (NPI# 1043249972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043249972 |
| Entity Type | Organization |
| Organization Name | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Practice Address |
1387 Santa Rita Rd Pleasanton CA 94566-5643 |
| Practice Telephone | 9254623700 |
| Practice Fax Number | 9254624681 |
| Mailing Telephone | 9254623700 |
| Mailing Fax Number | 9254624681 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | MRS. JUDI HICKLIN (ADMINISTRATOR) |
| Authorized Official Telephone | 9254623700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
140000491 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS | 051102 | 01 |
| Street Address |
1387 SANTA RITA RD |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94566-5643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285687723 | David Edelsohn Md, Inc | Anesthesiology | 1387 Santa Rita Rd, Pleasanton, CA 94566-5643 | 2006-05-18 |
| 1134271802 | Eric Bachelor, M.d., A.p.c. | Specialist | 1387 Santa Rita Rd, Pleasanton, CA 94566-5643 | 2007-01-16 |
| 1831121862 | Eric P. Bachelor | Plastic Surgery | 1387 Santa Rita Rd, Pleasanton, CA 94566-5643 | 2006-07-07 |
| 1316992373 | Ronald Edward Iverson | Plastic Surgery | 1387 Santa Rita Rd, Pleasanton, CA 94566-5643 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558868836 | Ngoc Bich Nguyen | Pharmacist | 1763 Santa Rita Road, Pleasanton, CA 94566 | 2018-04-12 |
| 1225556467 | Maureen Mclaughlin | Psychologist | 739 Main Street, Suite A, Pleasanton, CA 94566 | 2017-09-08 |
| 1558884379 | Michael Robles | Chiropractor | 4133 Mohr Ave Ste I, Pleasanton, CA 94566 | 2017-07-24 |
| 1558817353 | Jordan David Washington | Physical Therapist | 3908 Valley Avenur, Suite B, Pleasanton, CA 94566 | 2016-08-31 |
| 1912359449 | Prorehab Healthcare Group of Companies | Home Health | 4725 First St. Suite 274, Pleasanton, CA 94566 | 2016-07-08 |
| 1093179095 | Cielo House Inc | Clinic/Center | 1056 Division St, Pleasanton, CA 94566 | 2016-04-06 |
| 1154795938 | Arley Fong | Marriage & Family Therapist | 4456 Black Ave Ste 200, Pleasanton, CA 94566 | 2015-11-17 |
| 1770953036 | Lindsay Meyer | Psychologist | 4451 Valley Aveneue, E, Pleasanton, CA 94566 | 2015-09-30 |
| 1902239494 | Irfan Akbar | Marriage & Family Therapist | 1181 Santa Rita Rd, 216, Pleasanton, CA 94566 | 2013-08-20 |
| 1316291842 | Dhaval Patel and Amardeep Gill Dental Corporation | Dentist | 6766 Bernal Ave Suite 560, Pleasanton, CA 94566 | 2012-11-06 |
| Find all providers in zip 94566 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346649480 | Hacienda Outpatient Surgery Center, LLC | Clinic/Center | 4626 Willow Rd, Suite 100, Pleasanton, CA 94588-8517 | 2014-08-14 |
| 1619318391 | Summit Surgery Center LLC | Clinic/Center | 5924 Stoneridge Dr, 206, Pleasanton, CA 94588-2887 | 2013-07-10 |
| 1780853044 | Hacienda Surgery Center, LLC | Clinic/Center | 4626 Willow Rd, Pleasanton, CA 94588-2710 | 2008-02-20 |
| 1841315819 | Pleasanton Surgery Center, LLC | Clinic/Center | 1393 Santa Rita Rd, Suite F, Pleasanton, CA 94566-5665 | 2007-03-20 |
| 1790835130 | Trivalley Outpatient Surgery Center | Clinic/Center | 4487 Stoneridge Dr, Pleasanton, CA 94588-8326 | 2007-01-10 |
| 1598855033 | East Bay Surgery Center | Clinic/Center | 1393 Santa Rita Rd, Pleasanton, CA 94566-5665 | 2006-10-13 |
| 1922049881 | Tri-valley Surgery Center, L.p. | Clinic/Center | 4487 Stoneridge Dr, Pleasanton, CA 94588-8326 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384303 | Abroms Dougherty Vision Asc LLC | Clinic/Center | 4472 Broad St Ste 150, San Luis Obispo, CA 93401-7933 | 2020-10-23 |
| 1861091993 | Willow Vista Surgical Center | Clinic/Center | 39810 Portola Ave, Palm Desert, CA 92260-0624 | 2020-10-20 |
| 1366041469 | The Regents of The University of California | Clinic/Center | 4343 Lankershim Blvd Ste 210, North Hollywood, CA 91602-2705 | 2020-10-20 |
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1396352944 | Irvine Surgical Center LLC | Clinic/Center | 17624 Redhill Ave Ste B, Irvine, CA 92614 | 2020-09-28 |
| 1538775267 | Ev Surgery Institute LLC | Clinic/Center | 105 N Bascom Ave Ste 105, San Jose, CA 95128-1811 | 2020-09-18 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1811501661 | Precision Surgical Arts | Clinic/Center | 20311 Sw Birch St Ste 201, Newport Beach, CA 92660-1777 | 2020-08-31 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1740891571 | Peninsula Surgery Center, LLC | Clinic/Center | 350 Marine Pkwy Ste 100, Redwood City, CA 94065-5224 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94566 |
Please comment or provide details below to improve the information on PLASTIC AND RECONSTRUCTIVE SURGERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.