EAST BAY HAND & PLASTIC SURGERY CENTER INC. (NPI# 1720214125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720214125 |
| Entity Type | Organization |
| Organization Name | EAST BAY HAND & PLASTIC SURGERY CENTER INC. |
| Practice Address |
39141 Civic Center Dr Suite 110 Fremont CA 94538-5818 |
| Mailing Address |
2626 Grapevine Ter Fremont CA 94539-6079 |
| Practice Telephone | 5106482626 |
| Practice Fax Number | 8663830295 |
| Mailing Telephone | 5106482626 |
| Mailing Fax Number | 8663830295 |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2009-05-31 |
| Authorized Official Name | DR. PRASAD GANGADHAR KILARU (PRESIDENT) |
| Authorized Official Telephone | 5106482626 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | A60104 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
39141 CIVIC CENTER DR SUITE 110 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927241 | Kranthi Kumar Achanta | Surgery | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2005-07-29 |
| 1730572603 | Nina Khatibi | Physician Assistant | 39141 Civic Center Dr, 335, Fremont, CA 94538-5818 | 2015-03-16 |
| 1831529700 | Kory Langwell | Physical Therapist | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2013-11-13 |
| 1760829188 | Chester Maulion Santos | Case Manager/Care Coordinator | 39141 Civic Center Dr, Suite 350, Fremont, CA 94538-5818 | 2013-05-24 |
| 1396020624 | Ashwinder Kaur Wadhawan | Physical Therapist | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2011-10-18 |
| 1346535507 | Kate Diep Dirksen | Physician Assistant | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2011-06-16 |
| 1932405453 | Kimberly N Kurtz | Physician Assistant | 39141 Civic Center Dr, Suite #130, Fremont, CA 94538-5818 | 2011-01-31 |
| 1730419052 | Richard Hudson | Spec/Tech, Cardiovascular | 39141 Civic Center Dr, Suite 130, Fremont, CA 94538-5818 | 2010-01-08 |
| 1215174560 | Brian Richard Badduke | Surgery | 39141 Civic Center Dr, Suite 335, Fremont, CA 94538-5818 | 2009-01-08 |
| 1376797886 | Washington Township Hospital Development Corporation | Clinic/Center | 39141 Civic Center Dr, Suite 120, Fremont, CA 94538-5818 | 2008-11-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447523014 | John Romano Md Inc | Plastic Surgery | 39380 Civic Center Dr Ste B, Fremont, CA 94538-6719 | 2012-02-13 |
| 1730193772 | John Anthony Romano | Plastic Surgery | 686 Mowry Ave, Fremont, CA 94536-4113 | 2006-07-27 |
| 1356537633 | Ario Barzin | Plastic Surgery | 3200 Kearney Street, Fremont, CA 94538-2299 | 2007-09-19 |
| 1689674665 | Prasad G Kilaru | Plastic Surgery | 39141 Civic Center Dr, Suite 110, Fremont, CA 94538-1730 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696048 | Victor Liu Md, A Medical Corporation | Plastic Surgery | 1720 El Camino Real Ste 200, Burlingame, CA 94010-3226 | 2020-10-09 |
| 1629683255 | Veritas Aesthetics PC | Plastic Surgery | 23838 Valencia Blvd Ste 260, Valencia, CA 91355-5630 | 2020-09-10 |
| 1700405586 | Keyian Paydar, Md, PC | Plastic Surgery | 3991 Macarthur Blvd Ste 320, Newport Beach, CA 92660-3004 | 2020-04-13 |
| 1548892045 | Adventist Health Physicians Network | Plastic Surgery | 301 Science Dr Ste 180, Moorpark, CA 93021-0800 | 2020-02-12 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1851945646 | Skinzone Medical Inc | Plastic Surgery | 3374 S. Bristol St, Santa Ana, CA 92704 | 2019-07-30 |
| 1790341832 | Frederic Jerome Kolb | Plastic Surgery | 200 W Arbor Dr # Mc8890, San Diego, CA 92103-1911 | 2019-05-14 |
| 1588125835 | Beauty Eternal, Inc | Plastic Surgery | 1260 East Ave Ste 130, Chico, CA 95926-1021 | 2019-03-28 |
| 1689131229 | Schoemann Reconstructive Surgery | Plastic Surgery | 477 N El Camino Real Ste D101, Encinitas, CA 92024-1370 | 2019-03-01 |
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| 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.