PLASTIC AND RECONSTRUCTIVE SURGERY
NPI 1043249972
Clinic/Center - Ambulatory Surgical in Pleasanton, CA
NPI Status: Active since July 02, 2006
Contact Information
1387 SANTA RITA RD
PLEASANTON, CA
ZIP 94566
Phone: (925) 462-3700
Fax: (925) 462-4681
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D2035289
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 01-12-2026
About PLASTIC AND RECONSTRUCTIVE SURGERY
This page provides the complete NPI Profile along with additional information for Plastic And Reconstructive Surgery, a provider established in Pleasanton, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043249972 assigned on July 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 140000491 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mrs. Judi Hicklin (Administrator)
- NPI
- 1043249972
- Provider Name
- PLASTIC AND RECONSTRUCTIVE SURGERY
- Entity Type
- Organization
- Location Address
- 1387 SANTA RITA RD PLEASANTON, CA 94566
- Location Phone
- (925) 462-3700
- Location Fax
- (925) 462-4681
- Mailing Address
- 1387 SANTA RITA RD PLEASANTON, CA 94566
- Mailing Phone
- (925) 462-3700
- Mailing Fax
- (925) 462-4681
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2006
- Last Update Date
- 05-09-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 140000491
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 051102 | OTHER (01) | CA | BLUE CROSS |
| ZZZ98772Z | MEDICARE ID-TYPE UNSPECIFIED (04) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2035289
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- January 13, 2024
- Certificate Expiration Date
- January 12, 2026
- Laboratory Director
- ERIC P. BACHELOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plastic And Reconstructive Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PLASTIC AND RECONSTRUCTIVE SURGERY
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 2 | 4 | 9 | 9 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 4 | 4 | 18 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 4 + 4 + 1 + 8 + 9 + 1 + 4 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1043249972 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316992373 | DR. RONALD EDWARD IVERSON M.D. Individual | Plastic Surgery | 1387 SANTA RITA RD PLEASANTON, CA 94566 (925) 462-3700 |
| 1831121862 | ERIC P. BACHELOR MD Individual | Plastic Surgery | 1387 SANTA RITA RD PLEASANTON, CA 94566 (925) 462-3700 |
| 1134271802 | ERIC BACHELOR, M.D., A.P.C. Organization | Specialist | 1387 SANTA RITA RD PLEASANTON, CA 94566 (925) 462-3700 |
| 1285687723 | DAVID EDELSOHN MD, INC Organization | Anesthesiology | 1387 SANTA RITA RD PLEASANTON, CA 94566 (925) 951-1366 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043249972, enumerated in the NPI registry as an "organization" on July 02, 2006
The provider is located at 1387 Santa Rita Rd Pleasanton, Ca 94566 and the phone number is (925) 462-3700
This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2035289 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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