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PLASTIC AND RECONSTRUCTIVE SURGERY
NPI 1043249972
Clinic/Center - Ambulatory Surgical in Pleasanton, CA

Active since July 02, 2006
1387 SANTA RITA RD, PLEASANTON, CA 94566(925) 462-3700(925) 462-4681 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plastic And Reconstructive Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLASTIC AND RECONSTRUCTIVE SURGERY (NPI 1043249972) is a healthcare organization registered as an ambulatory surgical in Pleasanton, California and active in the NPI registry since July 2006. The organization lists Judi Hicklin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043249972
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePLASTIC AND RECONSTRUCTIVE SURGERY
Location Address1387 SANTA RITA RDPleasanton, CA 94566-5643
Mailing Address1387 Santa Rita RdPleasanton, CA 94566-5643 · (925) 462-3700 · Fax (925) 462-4681
Phone(925) 462-3700
Fax(925) 462-4681
Organization SubpartNo
Authorized OfficialJudi HicklinAdministrator · (925) 462-3700
Enumeration DateJuly 2, 2006
Last NPPES UpdateMay 9, 2012
✔ NPI 1043249972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 140000491
1387 SANTA RITA RD, Pleasanton, CA 94566
Open in Google Maps ↗

Other Identifiers 2

Other051102CA · Blue Cross
Medicare ID-Type UnspecifiedZZZ98772ZCA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC BACHELOR, M.D., A.P.C.
Specialist
1387 SANTA RITA RD
PLEASANTON, CA 94566
Alameda County (925) 462-3700
DAVID EDELSOHN MD, INC
Anesthesiology
1387 SANTA RITA RD
PLEASANTON, CA 94566
Alameda County (925) 951-1366
DR. RONALD EDWARD IVERSON M.D.
Plastic Surgery
1387 SANTA RITA RD
PLEASANTON, CA 94566
Alameda County (925) 462-3700
ERIC P. BACHELOR MD
Plastic Surgery
1387 SANTA RITA RD
PLEASANTON, CA 94566
Alameda County (925) 462-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Plastic And Reconstructive Surgery's NPI number?

The NPI number for Plastic And Reconstructive Surgery is 1043249972. It was assigned to this organization in the NPPES registry on July 2, 2006.

Where is Plastic And Reconstructive Surgery located?

Plastic And Reconstructive Surgery is located at 1387 Santa Rita Rd, Pleasanton, CA 94566. The listed phone number is (925) 462-3700.

What is Plastic And Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Plastic And Reconstructive Surgery was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.