Eric Toru Hisaka, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G037369 Issued in CA

Practice address

5720 Stoneridge Mall Road
Suite 130
Pleasanton, CA 94588-2829

Phone

(925) 463-1809

Fax

(925) 463-0748

NPI assigned

Dec 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902961287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL ROAD",
            "address_2": "SUITE 130",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882829",
            "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 ROAD",
            "address_2": "SUITE 130",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882829",
            "telephone_number": "925-463-1809",
            "fax_number": "925-463-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISAKA",
        "first_name": "ERIC",
        "middle_name": "TORU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G037369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian Leroy Hinck, D.C.
• Rebecca L. Hirsch, MD
• Hisako Ohmoto MD Inc
• Lisa Hitt
• Hively
• Angela Ho, RN
• Pin Ju Ho

• Plastic Surgery Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.