Active NPI
Eric T. Hisaka, M.D., Inc
- Plastic Surgery Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- ERIC T. HISAKA, M.D., INC
- Practice address
- 5720 Stoneridge Mall Rd
Suite 130
Pleasanton, CA 94588-2828 - Phone
- (925) 463-1809
- Fax
- (925) 463-0748
- NPI assigned
- Oct 26, 2010
- Last updated
- Sep 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric T Hisaka, M.D.
- Title
- President
- Phone
- (925) 463-1809
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
5720 Stoneridge Mall Rd
Suite 130
Pleasanton, CA 94588-2828
Mailing address
5720 Stoneridge Mall Rd
Suite 130
Pleasanton, CA 94588-2828
Phone (925) 463-1809
National Provider Directory
National Provider DirectoryLocations
5720 Stoneridge Mall Rd
Ste 130
Pleasanton, CA 94588
Phone (510) 483-3390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic Surgery Physician
- Pleasanton, CA
- NPI 1902961287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441843200000",
"number": "1205136181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5720 STONERIDGE MALL RD",
"address_2": "SUITE 130",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882828",
"telephone_number": "925-463-1809",
"fax_number": "925-463-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5720 STONERIDGE MALL RD",
"address_2": "SUITE 130",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882828",
"telephone_number": "925-463-1809",
"fax_number": "925-463-0748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC T. HISAKA, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-26",
"last_updated": "2015-09-10",
"status": "A",
"authorized_official_last_name": "HISAKA",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-463-1809",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.