EAST BAY HAND & PLASTIC SURGERY CENTER INC.
NPI 1720214125
Plastic Surgery in Fremont, CA

Q: What is East Bay Hand & Plastic Surgery Center Inc.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Active since May 31, 2009

39141 CIVIC CENTER DR, SUITE 110, FREMONT, CA 94538(510) 791-9700(866) 383-0295 Get Directions Write a Review

NPPES record last updated: May 31, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About East Bay Hand & Plastic Surgery Center Inc. NPPES

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

EAST BAY HAND & PLASTIC SURGERY CENTER INC. (NPI 1720214125) is a healthcare organization registered as a plastic surgery in Fremont, California and active in the NPI registry since May 2009. The organization lists Prasad Gangadhar Kilaru, President, as its authorized official.

NPPES Registry Identity

NPI1720214125

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameEAST BAY HAND & PLASTIC SURGERY CENTER INC.

Location Address39141 CIVIC CENTER DR, SUITE 110Fremont, CA 94538-5818

Mailing Address39141 Civic Center Dr, Suite 110Fremont, CA 94538-5818 · (510) 791-9700 · Fax (866) 383-0295

Phone(510) 791-9700

Fax(866) 383-0295

Organization SubpartNo

Authorized OfficialPrasad Gangadhar KilaruPresident · (510) 648-2626

Enumeration DateMay 31, 2009

✔ NPI 1720214125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · A60104

Definition

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.

39141 CIVIC CENTER DR, Fremont, CA 94538

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Other Identifiers 1

Medicare UPING71216CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Bay Hand & Plastic Surgery Center Inc. 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 East Bay Hand & Plastic Surgery Center Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Prasad Kilaru

Plastic and Reconstructive Surgery

NPI 1689674665

39141 CIVIC CENTER DR SUITE 110
Fremont, CA 94538

(510) 791-9700

✔ PECOS✔ Accepts MedicareSame 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 East Bay Hand & Plastic Surgery Center Inc.'s NPI number?

The NPI number for East Bay Hand & Plastic Surgery Center Inc. is 1720214125. It was assigned to this organization in the NPPES registry on May 31, 2009.

Where is East Bay Hand & Plastic Surgery Center Inc. located?

East Bay Hand & Plastic Surgery Center Inc. is located at 39141 Civic Center Dr Suite 110, Fremont, CA 94538. The listed phone number is (510) 791-9700.

What is East Bay Hand & Plastic Surgery Center Inc.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is East Bay Hand & Plastic Surgery Center Inc. enrolled in Medicare?

Yes. East Bay Hand & Plastic Surgery Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Bay Hand & Plastic Surgery Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to East Bay Hand & Plastic Surgery Center 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 East Bay Hand & Plastic Surgery Center Inc. was last updated on May 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.