Illuminate Plastic Surgery, Inc
NPI 1114384518 · Medical Specialty Clinic/Center · Palo Alto, CA
Illuminate Plastic Surgery, Inc is a Medical Specialty Clinic/Center organization in Palo Alto, CA (NPI 1114384518).
Provider details
- NPI number
- 1114384518
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Boudreault, Owner(650) 433-8621
- License
- A98186 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-15
- Last updated
- 2016-01-15
Frequently asked questions
- What is Illuminate Plastic Surgery, Inc's NPI number?
- Illuminate Plastic Surgery, Inc's National Provider Identifier (NPI) is 1114384518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illuminate Plastic Surgery, Inc?
- Illuminate Plastic Surgery, Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Illuminate Plastic Surgery, Inc located?
- Illuminate Plastic Surgery, Inc's practice location on file with NPPES is 1515 El Camino Real Ste C, Palo Alto, CA 94306-1000.
- What is Illuminate Plastic Surgery, Inc's phone number?
- The practice phone number listed in the NPPES registry for Illuminate Plastic Surgery, Inc is (650) 433-8621.
- Who is the authorized official for Illuminate Plastic Surgery, Inc?
- The authorized official listed on Illuminate Plastic Surgery, Inc's NPPES record is David Boudreault, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illuminate Plastic Surgery, Inc's NPI active?
- Yes — Illuminate Plastic Surgery, Inc's NPI (1114384518) is active in the NPPES registry as of the last update on 2016-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.