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PLASTIC SURGERY CENTER OF STOCKTON
NPI 1144670597
Clinic/Center - Medical Specialty in Stockton, CA

Active since June 16, 2016
1805 N CALIFORNIA ST STE 405, STOCKTON, CA 95204(209) 870-7100(209) 870-7116 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Plastic Surgery Center Of Stockton NPPES

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

PLASTIC SURGERY CENTER OF STOCKTON (NPI 1144670597) is a healthcare organization registered as a medical specialty in Stockton, California and active in the NPI registry since June 2016. The organization lists Nathan Andrew Kludt, President, as its authorized official.

NPPES Registry Identity

NPI1144670597
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNATHAN A. KLUDT, MD, INC
Location Address1805 N CALIFORNIA ST STE 405Stockton, CA 95204-6033
Mailing Address1805 N California St Ste 405Stockton, CA 95204-6033 · (209) 870-7100 · Fax (209) 870-7116
Phone(209) 870-7100
Fax(209) 870-7116
Organization SubpartNo
Authorized OfficialNathan Andrew KludtPresident · (209) 870-7100
Enumeration DateJune 16, 2016
✔ NPI 1144670597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A110013
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1805 N CALIFORNIA ST STE 405, Stockton, CA 95204
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Other Names 1

Doing Business AsPlastic Surgery Center Of Stockton

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Plastic Surgery Center Of Stockton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Plastic Surgery Center Of Stockton, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nathan Kludt, MD
Plastic and Reconstructive Surgery
NPI 1841457355
1805 N CALIFORNIA ST SUITE 405
Stockton, CA 95204
(209) 870-7100
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nathan A. Kludt, MD, Inc's NPI number?

The NPI number for Nathan A. Kludt, MD, Inc is 1144670597. It was assigned to this organization in the NPPES registry on June 16, 2016. The provider is doing business as Plastic Surgery Center Of Stockton.

Where is Nathan A. Kludt, MD, Inc located?

Nathan A. Kludt, MD, Inc is located at 1805 N California St Ste 405, Stockton, CA 95204. The listed phone number is (209) 870-7100.

What is Nathan A. Kludt, MD, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Nathan A. Kludt, MD, Inc enrolled in Medicare?

Yes. Nathan A. Kludt, MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nathan A. Kludt, MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Nathan A. Kludt, MD, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nathan A. Kludt, MD, Inc was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.