| Eric Toru Hisaka, MD | |
|
5720 Stoneridge Mall Road, Suite 130, Pleasanton, CA 94588-2829 | |
| (925) 463-1809 | |
| (925) 463-0748 |
| Full Name | Eric Toru Hisaka |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 5720 Stoneridge Mall Road, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902961287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | G037369 (California) | Primary |
| Entity Name | Eric T. Hisaka, M.d., Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205136181 PECOS PAC ID: 2567657836 Enrollment ID: O20101111001237 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Toru Hisaka, MD 5720 Stoneridge Mall Road, Suite 130, Pleasanton, CA 94588-2829 Ph: (925) 463-1809 | Eric Toru Hisaka, MD 5720 Stoneridge Mall Road, Suite 130, Pleasanton, CA 94588-2829 Ph: (925) 463-1809 |
Dr. Ronald Edward Iverson, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Santa Rita Rd, Pleasanton, CA 94566 Phone: 925-462-3700 Fax: 925-462-4681 | |
Edward Wells Knowlton, Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1020 Serpentine Ln Ste 110, Pleasanton, CA 94566 Phone: 925-223-8581 | |
Eric P. Bachelor, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1387 Santa Rita Rd, Pleasanton, CA 94566 Phone: 925-462-3700 Fax: 925-462-4681 |