| Hawaii Pacific Health Medical Group | |
|
1319 Punahou St Honolulu HI 96826-1001 | |
| (808) 983-8736 | |
| (808) 983-6343 |
| Full Name | Hawaii Pacific Health Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1319 Punahou St, Honolulu, Hawaii |
| Authorized Official Name and Position | David Okabe (CFO, SR. VICE PRESIDENT) |
| Authorized Official Contact | 9095357202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Pacific Health Medical Group 1946 Young St Suite 360 Honolulu HI 96826-2150 Ph: (808) 973-7320 | Hawaii Pacific Health Medical Group 1319 Punahou St Honolulu HI 96826-1001 Ph: (808) 983-8736 |
| NPI Number | 1124071014 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 0648183988 |
|---|---|
| Medicare Enrollment ID | O20031111000895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124071014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Mari Uehara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780755397 PECOS PAC ID: 8224941596 Enrollment ID: I20031112000109 |
| Provider Name | Yolanda C Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588752174 PECOS PAC ID: 2365338779 Enrollment ID: I20040224000255 |
| Provider Name | Gregory M Enns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508961897 PECOS PAC ID: 0446147490 Enrollment ID: I20040304000732 |
| Provider Name | James M Dimarchi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366542185 PECOS PAC ID: 1052209137 Enrollment ID: I20040309001354 |
| Provider Name | Ivica Zalud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770566606 PECOS PAC ID: 5597656363 Enrollment ID: I20040322001266 |
| Provider Name | William P Shea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972672574 PECOS PAC ID: 7618960881 Enrollment ID: I20040405000712 |
| Provider Name | Heather L Books |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033129358 PECOS PAC ID: 4981698453 Enrollment ID: I20040408001403 |
| Provider Name | Michael C Savala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295719342 PECOS PAC ID: 5193713998 Enrollment ID: I20040501000438 |
| Provider Name | Anthony Guerrero |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770536070 PECOS PAC ID: 0547250680 Enrollment ID: I20040512001256 |
| Provider Name | Melanie Ann Manning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518030352 PECOS PAC ID: 3375524655 Enrollment ID: I20040525000558 |
| Provider Name | Leticia G Diniega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356412944 PECOS PAC ID: 0547241929 Enrollment ID: I20040601000628 |
| Provider Name | Shilpa J Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316034366 PECOS PAC ID: 6709860067 Enrollment ID: I20040615000539 |
| Provider Name | Aileen M K Yee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518948058 PECOS PAC ID: 3274513452 Enrollment ID: I20040721000600 |
| Provider Name | Bart L Pillen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285721258 PECOS PAC ID: 1658341946 Enrollment ID: I20040726001071 |
| Provider Name | Camnhung T Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740370832 PECOS PAC ID: 4688645823 Enrollment ID: I20040805000676 |
| Provider Name | Selina S P Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780753426 PECOS PAC ID: 6406828946 Enrollment ID: I20040806000379 |
| Provider Name | James C Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316031735 PECOS PAC ID: 2264405372 Enrollment ID: I20040817000822 |
| Provider Name | John J Harrington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871682310 PECOS PAC ID: 6709855703 Enrollment ID: I20040927000990 |
| Provider Name | Charles R Neal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144338617 PECOS PAC ID: 1456310515 Enrollment ID: I20041005001221 |
| Provider Name | Jeffrey F Bocchicchio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912912064 PECOS PAC ID: 3577524628 Enrollment ID: I20041021000737 |
| Provider Name | Laurie H Seaver |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1477661908 PECOS PAC ID: 2860455227 Enrollment ID: I20041105001016 |
| Provider Name | Barry S Carlton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790736544 PECOS PAC ID: 6709837214 Enrollment ID: I20050202000261 |
| Provider Name | Laura D Peterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255400370 PECOS PAC ID: 5698665909 Enrollment ID: I20050204000772 |
| Provider Name | Gary T Kimoto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598863839 PECOS PAC ID: 7113974544 Enrollment ID: I20050407000120 |
| Provider Name | Carol Hirai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285723544 PECOS PAC ID: 6305875410 Enrollment ID: I20050809000855 |
| Provider Name | Konstantine P Xoinis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023243490 PECOS PAC ID: 1557390515 Enrollment ID: I20050810000183 |
| Provider Name | Brian K Tanabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780794750 PECOS PAC ID: 8123057189 Enrollment ID: I20050810000229 |
| Provider Name | Ian a Oyama |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1598749640 PECOS PAC ID: 1850320813 Enrollment ID: I20050810000230 |
| Provider Name | Robert C Durkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295716785 PECOS PAC ID: 4880624196 Enrollment ID: I20050818000398 |
| Provider Name | Cheryl L Leialoha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073537684 PECOS PAC ID: 6800822701 Enrollment ID: I20050928001086 |
| Provider Name | Cheryl Lynn T Rudy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043234644 PECOS PAC ID: 9234165135 Enrollment ID: I20050928001165 |
| Provider Name | Sidney M Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316042583 PECOS PAC ID: 2062437288 Enrollment ID: I20051006000936 |
| Provider Name | Marguerite L Bartholomew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124001441 PECOS PAC ID: 4385539097 Enrollment ID: I20051008000105 |
| Provider Name | James E Musgrave |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871567008 PECOS PAC ID: 5890711154 Enrollment ID: I20051017000837 |
| Provider Name | Gina M French |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316948979 PECOS PAC ID: 8729984489 Enrollment ID: I20051227000664 |
| Provider Name | Susan M Rinaldi Weldon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053388769 PECOS PAC ID: 0244245504 Enrollment ID: I20060208000481 |
| Provider Name | Dominic C Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063464972 PECOS PAC ID: 1951318245 Enrollment ID: I20060310000538 |
| Provider Name | Mark K Y Hiraoka |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811943236 PECOS PAC ID: 0042213324 Enrollment ID: I20060808000069 |
| Provider Name | Brian H Ching |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699715847 PECOS PAC ID: 1456394824 Enrollment ID: I20060822000570 |
| Provider Name | Kyra a Len |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386676468 PECOS PAC ID: 2567466824 Enrollment ID: I20060830000049 |
| Provider Name | Sadie N Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447275409 PECOS PAC ID: 3173527439 Enrollment ID: I20060830000071 |
| Provider Name | Bryan D Mih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720172216 PECOS PAC ID: 1658475280 Enrollment ID: I20070409000296 |
| Provider Name | Keith K Abe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609990290 PECOS PAC ID: 9032218243 Enrollment ID: I20070628000072 |
| Provider Name | William E Burkhalter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376513887 PECOS PAC ID: 1355434473 Enrollment ID: I20070906000274 |
| Provider Name | Richard T Mccartin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235111295 PECOS PAC ID: 3173506557 Enrollment ID: I20070911000756 |
| Provider Name | Kristin K Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619198710 PECOS PAC ID: 4587758644 Enrollment ID: I20070919000977 |
| Provider Name | Len Y Tanaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730399544 PECOS PAC ID: 5799871224 Enrollment ID: I20071015000497 |
| Provider Name | Cheryl K Okado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285626341 PECOS PAC ID: 9133285000 Enrollment ID: I20090227000460 |
| Provider Name | Andrew K Feng |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184661274 PECOS PAC ID: 7012965494 Enrollment ID: I20090330000525 |
| Provider Name | Dee Ann K Omatsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851523211 PECOS PAC ID: 4183779762 Enrollment ID: I20090903000137 |
| Provider Name | Ann L Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982800058 PECOS PAC ID: 7416000468 Enrollment ID: I20090912000040 |
| Provider Name | Kim Mika Fujinaga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659596898 PECOS PAC ID: 6103972112 Enrollment ID: I20090916000397 |
| Provider Name | Russell K Woo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760613947 PECOS PAC ID: 3779639273 Enrollment ID: I20090924000742 |
| Provider Name | Megan K Yunghans |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457447054 PECOS PAC ID: 5890710941 Enrollment ID: I20091002000159 |
| Provider Name | Kelly Yamasato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114138450 PECOS PAC ID: 6204972359 Enrollment ID: I20091005000228 |
| Provider Name | Jessica S Kosut |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063450021 PECOS PAC ID: 4385671999 Enrollment ID: I20091014000016 |
| Provider Name | Jaymie H Pinho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689889008 PECOS PAC ID: 3173661873 Enrollment ID: I20091118000357 |
| Provider Name | Devin P Puapong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578611505 PECOS PAC ID: 7214070911 Enrollment ID: I20100203000464 |
| Provider Name | Rupert K S Chang |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861561599 PECOS PAC ID: 3274676556 Enrollment ID: I20100209000374 |
| Provider Name | Barry M Mizuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225236995 PECOS PAC ID: 5496899429 Enrollment ID: I20100215000402 |
| Provider Name | Tamarin L Mccartin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346228863 PECOS PAC ID: 2062557267 Enrollment ID: I20100226000228 |
| Provider Name | Greg Yukio Uramoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679661177 PECOS PAC ID: 9537113782 Enrollment ID: I20100420000540 |
| Provider Name | Marian E Melish |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740370824 PECOS PAC ID: 5193854958 Enrollment ID: I20100603000819 |
| Provider Name | David K Kurahara |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1487743589 PECOS PAC ID: 2860523404 Enrollment ID: I20100626000113 |
| Provider Name | Cherilyn F Yee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215131081 PECOS PAC ID: 1759413842 Enrollment ID: I20100726000530 |
| Provider Name | Michael E Carney |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1790893287 PECOS PAC ID: 6608909965 Enrollment ID: I20100806000482 |
| Provider Name | Bryan J Gushiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306816186 PECOS PAC ID: 0345365722 Enrollment ID: I20100909000774 |
| Provider Name | Kevin N Kon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972583011 PECOS PAC ID: 2163547548 Enrollment ID: I20100909000834 |
| Provider Name | Diane Pan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326242124 PECOS PAC ID: 3274729124 Enrollment ID: I20101118000407 |
| Provider Name | Jerome P Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861581985 PECOS PAC ID: 8527257575 Enrollment ID: I20110106001002 |
| Provider Name | Venkataraman Balaraman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740387273 PECOS PAC ID: 3375722788 Enrollment ID: I20110131000829 |
| Provider Name | Lynn M Iwamoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053429530 PECOS PAC ID: 1355520743 Enrollment ID: I20110201000779 |
| Provider Name | Nancy S Clarke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124224282 PECOS PAC ID: 3274713664 Enrollment ID: I20110201000882 |
| Provider Name | Sheree Kuo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427168236 PECOS PAC ID: 7911187315 Enrollment ID: I20110202000012 |
| Provider Name | Dana K Ing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487708186 PECOS PAC ID: 3375723778 Enrollment ID: I20110202000021 |
| Provider Name | Ronald S Sutherland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770562589 PECOS PAC ID: 1456531862 Enrollment ID: I20110202000045 |
| Provider Name | Daniel T Murai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396832499 PECOS PAC ID: 9436339850 Enrollment ID: I20110202000194 |
| Provider Name | Jeremy L King |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598785172 PECOS PAC ID: 9234319682 Enrollment ID: I20110202000586 |
| Provider Name | Kent K Kumashiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518028810 PECOS PAC ID: 6901086271 Enrollment ID: I20110204000132 |
| Provider Name | Kara S Yamamoto |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346338993 PECOS PAC ID: 4688854417 Enrollment ID: I20110210000478 |
| Provider Name | Jennifer King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396940425 PECOS PAC ID: 7012949688 Enrollment ID: I20110214000663 |
| Provider Name | Wade T Kyono |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851485379 PECOS PAC ID: 3971783408 Enrollment ID: I20110215000876 |
| Provider Name | Robert J Bidwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437255080 PECOS PAC ID: 5890976112 Enrollment ID: I20110221000192 |
| Provider Name | Kenneth M Ash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457456071 PECOS PAC ID: 8426239740 Enrollment ID: I20110221000195 |
| Provider Name | Louise K Iwaishi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437228004 PECOS PAC ID: 7315128469 Enrollment ID: I20110222000817 |
| Provider Name | Sneha L H Sood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710075551 PECOS PAC ID: 3476734542 Enrollment ID: I20110222001067 |
| Provider Name | Joan C Meister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588874481 PECOS PAC ID: 7618159112 Enrollment ID: I20110304000107 |
| Provider Name | Darryl W Glaser |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306956479 PECOS PAC ID: 3274715669 Enrollment ID: I20110307000237 |
| Provider Name | Calle a Gonzales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447360359 PECOS PAC ID: 5991987919 Enrollment ID: I20110314000194 |
| Provider Name | Soo Jean C Misailidis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417254376 PECOS PAC ID: 5294918884 Enrollment ID: I20110318000613 |
| Provider Name | Keith K Ogasawara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336240449 PECOS PAC ID: 9032396429 Enrollment ID: I20110613000378 |
| Provider Name | Mineko Kaisho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225276512 PECOS PAC ID: 1951579119 Enrollment ID: I20110714000541 |
| Provider Name | Mae S Kyono |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720136906 PECOS PAC ID: 1254502503 Enrollment ID: I20110919000507 |
| Provider Name | Thornton S MU |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013981190 PECOS PAC ID: 4284805193 Enrollment ID: I20110927000125 |
| Provider Name | Jasmine K Waipa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598923831 PECOS PAC ID: 1456522267 Enrollment ID: I20110927000281 |
| Provider Name | Millicent Khaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235201278 PECOS PAC ID: 8123916269 Enrollment ID: I20111229000297 |
| Provider Name | Mark H Croley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720051311 PECOS PAC ID: 6800058124 Enrollment ID: I20120503000301 |
| Provider Name | Carol B Cambareri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710905120 PECOS PAC ID: 7618974346 Enrollment ID: I20120620000313 |
| Provider Name | Peter J Di Rocco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790980894 PECOS PAC ID: 7315124740 Enrollment ID: I20120629000453 |
| Provider Name | Jennifer R Di Rocco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164693594 PECOS PAC ID: 6901957182 Enrollment ID: I20120705000612 |
| Provider Name | Stephen E Darling |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255446969 PECOS PAC ID: 2668637919 Enrollment ID: I20120711000494 |
| Provider Name | Dena R Towner |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1962484980 PECOS PAC ID: 3678632437 Enrollment ID: I20120718000490 |
| Provider Name | Joanna C.N. Agena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750656641 PECOS PAC ID: 4486810439 Enrollment ID: I20120719000541 |
| Provider Name | Kristyn M.K. Nishimoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851527238 PECOS PAC ID: 0749436418 Enrollment ID: I20120813000127 |
| Provider Name | Patrick J Odonnell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285898916 PECOS PAC ID: 8628101227 Enrollment ID: I20120816000150 |
| Provider Name | Joseph S Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104052497 PECOS PAC ID: 5698921096 Enrollment ID: I20120816000731 |
| Provider Name | Andras Bratincsak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922206994 PECOS PAC ID: 0648429357 Enrollment ID: I20121012000147 |
| Provider Name | Robert H Salyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013170554 PECOS PAC ID: 4688842032 Enrollment ID: I20121101000436 |
| Provider Name | Pia H Francisco-natanauan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528256963 PECOS PAC ID: 3072766518 Enrollment ID: I20130110000576 |
| Provider Name | Rhiana L.A. Lau |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1801095682 PECOS PAC ID: 1254584642 Enrollment ID: I20130115000389 |
| Provider Name | Jeffrey K Okamoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003903196 PECOS PAC ID: 4183878986 Enrollment ID: I20130201000367 |
| Provider Name | Emilie K Stickley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215093026 PECOS PAC ID: 7416193669 Enrollment ID: I20130415000172 |
| Provider Name | Jason H Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265696116 PECOS PAC ID: 5698808483 Enrollment ID: I20130528000766 |
| Provider Name | Rachel a Coel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639227655 PECOS PAC ID: 9931206976 Enrollment ID: I20130618000668 |
| Provider Name | Masafumi Sato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821291998 PECOS PAC ID: 4183816309 Enrollment ID: I20130709000640 |
| Provider Name | Justin M Hino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700106788 PECOS PAC ID: 3375783277 Enrollment ID: I20130716000856 |
| Provider Name | John M Semenza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427219443 PECOS PAC ID: 4284897398 Enrollment ID: I20130801000470 |
| Provider Name | Michele Y. Pangilinan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831394279 PECOS PAC ID: 0446493803 Enrollment ID: I20130904000289 |
| Provider Name | Danielle Stovaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043448442 PECOS PAC ID: 8527294347 Enrollment ID: I20131126000349 |
| Provider Name | Stephanie K Abe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659691533 PECOS PAC ID: 6800023243 Enrollment ID: I20131211000332 |
| Provider Name | Pattaraporn T Chun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275851727 PECOS PAC ID: 4688802333 Enrollment ID: I20140102000809 |
| Provider Name | Tiffany Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891087805 PECOS PAC ID: 5698943637 Enrollment ID: I20140116000448 |
| Provider Name | Tal O Leyshon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659598738 PECOS PAC ID: 8123290590 Enrollment ID: I20140130001762 |
| Provider Name | Shaylin P Chock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093914897 PECOS PAC ID: 0042496218 Enrollment ID: I20140429001930 |
| Provider Name | Anthony J Herrera |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1720220049 PECOS PAC ID: 4981827565 Enrollment ID: I20140529001240 |
| Provider Name | Kristen TM Nagata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063688901 PECOS PAC ID: 8729226535 Enrollment ID: I20140605000793 |
| Provider Name | Lynne Y Saito-tom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902117310 PECOS PAC ID: 4183849037 Enrollment ID: I20140708002554 |
| Provider Name | Stacy K Kanayama Trivedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164633954 PECOS PAC ID: 1355417312 Enrollment ID: I20140807001482 |
| Provider Name | Robin H Lynch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083944490 PECOS PAC ID: 9133346109 Enrollment ID: I20140814002457 |
| Provider Name | Gina V Ramirez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942596721 PECOS PAC ID: 0941427702 Enrollment ID: I20140819000937 |
| Provider Name | Kelley a Chinen Okimoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013202316 PECOS PAC ID: 5991923229 Enrollment ID: I20140828002368 |
| Provider Name | Jordan D Arakawa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245525864 PECOS PAC ID: 0042438046 Enrollment ID: I20140904002798 |
| Provider Name | Marissa H Fakaosita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003178971 PECOS PAC ID: 9234357138 Enrollment ID: I20140905000233 |
| Provider Name | Coral W Yap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902191828 PECOS PAC ID: 9436377397 Enrollment ID: I20140905002533 |
| Provider Name | Alyson a Tamamoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972898468 PECOS PAC ID: 5294954145 Enrollment ID: I20140917001327 |
| Provider Name | Jasmin S Jensen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801017264 PECOS PAC ID: 4688805682 Enrollment ID: I20141120001966 |
| Provider Name | Graham T Fedorak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679902746 PECOS PAC ID: 4789906090 Enrollment ID: I20141121002357 |
| Provider Name | Lesli I Nicolay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093917106 PECOS PAC ID: 5991955791 Enrollment ID: I20141204000860 |
| Provider Name | Natascha W H Ching |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215957113 PECOS PAC ID: 8729980982 Enrollment ID: I20150107001135 |
| Provider Name | Yomna a Ibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326253881 PECOS PAC ID: 1052453560 Enrollment ID: I20150112002213 |
| Provider Name | Sharon Tisza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679693212 PECOS PAC ID: 5799009189 Enrollment ID: I20150113000024 |
| Provider Name | Brett C Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902054885 PECOS PAC ID: 2567631724 Enrollment ID: I20150120000005 |
| Provider Name | Andrea L Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821311804 PECOS PAC ID: 9032439104 Enrollment ID: I20150514000015 |
| Provider Name | Irisa Devine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437384583 PECOS PAC ID: 6002032935 Enrollment ID: I20150605002781 |
| Provider Name | Srujana Rallabandi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518194786 PECOS PAC ID: 9234442021 Enrollment ID: I20150722006123 |
| Provider Name | Donna Y Miyasaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689938904 PECOS PAC ID: 8325352750 Enrollment ID: I20150729010038 |
| Provider Name | Susan L Tan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457731358 PECOS PAC ID: 1850606385 Enrollment ID: I20150813009380 |
| Provider Name | Kara N Wong Ramsey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255568440 PECOS PAC ID: 6305154196 Enrollment ID: I20150928002179 |
| Provider Name | Paulina K Buraczynski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073874475 PECOS PAC ID: 4688982424 Enrollment ID: I20150929000791 |
| Provider Name | Brian H Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932341260 PECOS PAC ID: 9032234836 Enrollment ID: I20151012001206 |
| Provider Name | Shaina M Sonobe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497041685 PECOS PAC ID: 4880902675 Enrollment ID: I20151201002428 |
| Provider Name | Anthony J Froix |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760572168 PECOS PAC ID: 2365504313 Enrollment ID: I20151208001895 |
| Provider Name | Susan E Biffl |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366589640 PECOS PAC ID: 2466504121 Enrollment ID: I20160330002702 |
| Provider Name | Eludrizza U Tabisola-nuesca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366815359 PECOS PAC ID: 3779881750 Enrollment ID: I20160406002427 |
| Provider Name | Christopher K Gibu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205152261 PECOS PAC ID: 2668764473 Enrollment ID: I20160714000380 |
| Provider Name | Lee N Goerner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114194750 PECOS PAC ID: 8820226764 Enrollment ID: I20160815002641 |
| Provider Name | Anna-lena Lueker-wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780926030 PECOS PAC ID: 5890089718 Enrollment ID: I20160815002647 |
| Provider Name | Maya Maxym |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356531636 PECOS PAC ID: 9335384924 Enrollment ID: I20160824001163 |
| Provider Name | Richard a Jack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306289129 PECOS PAC ID: 4789979196 Enrollment ID: I20160824002279 |
| Provider Name | Cori-ann M Hirai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811250566 PECOS PAC ID: 3779879754 Enrollment ID: I20160831002110 |
| Provider Name | Miriam J Seitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194952457 PECOS PAC ID: 4183911977 Enrollment ID: I20160921002888 |
| Provider Name | Men-jean Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992892871 PECOS PAC ID: 5193724748 Enrollment ID: I20161003002479 |
| Provider Name | Elaine Tsukayama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578874459 PECOS PAC ID: 0941438048 Enrollment ID: I20161104001973 |
| Provider Name | Keric C Menes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548582539 PECOS PAC ID: 1456579184 Enrollment ID: I20161110000342 |
| Provider Name | Taryn M Park |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619268562 PECOS PAC ID: 7012229917 Enrollment ID: I20161128002712 |
| Provider Name | Edward CW Fong |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124133574 PECOS PAC ID: 1759540446 Enrollment ID: I20161229000867 |
| Provider Name | Andrea Wieland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053411 PECOS PAC ID: 6002199775 Enrollment ID: I20170203002484 |
| Provider Name | Kristen T Hougland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396791851 PECOS PAC ID: 6406926146 Enrollment ID: I20170206002450 |
| Provider Name | Candyce Ann Y Kaaiai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154768703 PECOS PAC ID: 1850674136 Enrollment ID: I20170210002214 |
| Provider Name | Allison a Przekop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740493717 PECOS PAC ID: 6204994858 Enrollment ID: I20170223000609 |
| Provider Name | Emmanuel R.e Kling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265672471 PECOS PAC ID: 9638479413 Enrollment ID: I20170223000783 |
| Provider Name | Madeleine O Redding |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386832665 PECOS PAC ID: 1153606785 Enrollment ID: I20170322002656 |
| Provider Name | Kareem H Khozaim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336467810 PECOS PAC ID: 0446422562 Enrollment ID: I20170331000986 |
| Provider Name | David a Stevenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073617460 PECOS PAC ID: 0345278263 Enrollment ID: I20170501002512 |
| Provider Name | David S Ansdell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578859930 PECOS PAC ID: 6901173251 Enrollment ID: I20170517001538 |
| Provider Name | Camilla L Fraga-lovejoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265726285 PECOS PAC ID: 1355562554 Enrollment ID: I20170613001624 |
| Provider Name | Valerie Nicole Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194163907 PECOS PAC ID: 1456620194 Enrollment ID: I20170711003840 |
| Provider Name | Kimberly KM Nagamine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871936195 PECOS PAC ID: 6800166588 Enrollment ID: I20170728001293 |
| Provider Name | Corrie B Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538502505 PECOS PAC ID: 6002187358 Enrollment ID: I20170803003571 |
| Provider Name | Alexandra R Ramnath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508148628 PECOS PAC ID: 5395017123 Enrollment ID: I20170814003089 |
| Provider Name | Megan Doty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285924829 PECOS PAC ID: 8527350347 Enrollment ID: I20170816001892 |
| Provider Name | Jon S Ishii |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558776252 PECOS PAC ID: 9638441637 Enrollment ID: I20170825003101 |
| Provider Name | Ashley M Cowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174934368 PECOS PAC ID: 0345547584 Enrollment ID: I20170912003033 |
| Provider Name | Kasey R Kajiwara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689019895 PECOS PAC ID: 5698048668 Enrollment ID: I20170913002979 |
| Provider Name | Kandie K George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306134523 PECOS PAC ID: 0941574529 Enrollment ID: I20170920002173 |
| Provider Name | Unknown Akshatha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215216171 PECOS PAC ID: 2062786437 Enrollment ID: I20170922003349 |
| Provider Name | Leah K Dowsett |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1972868073 PECOS PAC ID: 4880960798 Enrollment ID: I20171020001502 |
| Provider Name | Lisa H Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295246593 PECOS PAC ID: 6002174653 Enrollment ID: I20180103001431 |
| Provider Name | Kristen a Espinoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073049375 PECOS PAC ID: 7810256419 Enrollment ID: I20180104000852 |
| Provider Name | Annabelle R Mateo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699796730 PECOS PAC ID: 2860753167 Enrollment ID: I20180301001302 |
| Provider Name | Benjamin D Tabak |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1659512499 PECOS PAC ID: 2961764758 Enrollment ID: I20180314000974 |
| Provider Name | Kit Shan Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346502358 PECOS PAC ID: 1658689401 Enrollment ID: I20180327002938 |
| Provider Name | Kelley K Hutchins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730405713 PECOS PAC ID: 1951604461 Enrollment ID: I20180525000340 |
| Provider Name | Eric M Boorman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508833179 PECOS PAC ID: 7416915483 Enrollment ID: I20180626000349 |
| Provider Name | Hollie R Seward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358641 PECOS PAC ID: 0941585582 Enrollment ID: I20180706001866 |
| Provider Name | Paris N Stowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275953564 PECOS PAC ID: 5799032710 Enrollment ID: I20180723002061 |
| Provider Name | Mark R Villarin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851711592 PECOS PAC ID: 7719235852 Enrollment ID: I20180806000971 |
| Provider Name | Jean M Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144367921 PECOS PAC ID: 4981846144 Enrollment ID: I20180810000321 |
| Provider Name | Michale Sofer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033436175 PECOS PAC ID: 9537418660 Enrollment ID: I20180822000989 |
| Provider Name | Alexandra G Takayesu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184060790 PECOS PAC ID: 9335483981 Enrollment ID: I20181207001869 |
| Provider Name | Tamara K Zagustin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851413736 PECOS PAC ID: 5395801716 Enrollment ID: I20190211002525 |
| Provider Name | John R Mills |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679624449 PECOS PAC ID: 7517130099 Enrollment ID: I20190308000692 |
| Provider Name | William Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154358851 PECOS PAC ID: 0648225524 Enrollment ID: I20190315000467 |
| Provider Name | Jin S Hahn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386702587 PECOS PAC ID: 9931205382 Enrollment ID: I20190320000744 |
| Provider Name | Jennifer C Cunanan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982987921 PECOS PAC ID: 0345532610 Enrollment ID: I20190328000910 |
| Provider Name | Nicole L Hodgeboom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013943455 PECOS PAC ID: 7618107889 Enrollment ID: I20190515002588 |
| Provider Name | Erika M Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184122780 PECOS PAC ID: 6901169457 Enrollment ID: I20190611001555 |
| Provider Name | William Brian Gallentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578595211 PECOS PAC ID: 6507869377 Enrollment ID: I20190806003530 |
| Provider Name | Fiona M Baumer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386969715 PECOS PAC ID: 3476707647 Enrollment ID: I20190813002160 |
| Provider Name | Hyunmi Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811191836 PECOS PAC ID: 8022373869 Enrollment ID: I20190819001940 |
| Provider Name | Philip a Verhoef |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699963918 PECOS PAC ID: 3577698521 Enrollment ID: I20190827001512 |
| Provider Name | Jordan M Kono |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346696069 PECOS PAC ID: 3476884164 Enrollment ID: I20191010001425 |
| Provider Name | Kelsey L Rhodes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760837843 PECOS PAC ID: 1850623695 Enrollment ID: I20191029001842 |
| Provider Name | Juliet Klasing Knowles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285926618 PECOS PAC ID: 5395000970 Enrollment ID: I20191031000841 |
| Provider Name | Sally K Markee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215316252 PECOS PAC ID: 4587996988 Enrollment ID: I20191105001440 |
| Provider Name | Saki Onda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376930909 PECOS PAC ID: 9830433952 Enrollment ID: I20191127000971 |
| Provider Name | Melissa Suzuko Wu Yamauchi |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1952620791 PECOS PAC ID: 0941432462 Enrollment ID: I20200103001328 |
| Provider Name | Brenda E Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346256583 PECOS PAC ID: 2860523271 Enrollment ID: I20200122001853 |
| Provider Name | Matthew J Careskey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306189618 PECOS PAC ID: 1850684564 Enrollment ID: I20200224000687 |
| Provider Name | Robert Thomas Buckley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790051266 PECOS PAC ID: 8921327131 Enrollment ID: I20200225000462 |
| Provider Name | Francesca R Geertsma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821066747 PECOS PAC ID: 5597958439 Enrollment ID: I20200514001596 |
| Provider Name | Jacqueline M Guerrero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891912911 PECOS PAC ID: 0446326318 Enrollment ID: I20200625002112 |
| Provider Name | Courtney K Taum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255867404 PECOS PAC ID: 4688096159 Enrollment ID: I20200708002459 |
| Provider Name | Chanel C Casamina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205361375 PECOS PAC ID: 8022434968 Enrollment ID: I20200821001903 |
| Provider Name | Vinson Kien Diep |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164958310 PECOS PAC ID: 2567893720 Enrollment ID: I20200827001957 |
| Provider Name | Maria T Untanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497209555 PECOS PAC ID: 9931526399 Enrollment ID: I20200831001249 |
| Provider Name | Jim J Mueggenberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326014416 PECOS PAC ID: 9739119959 Enrollment ID: I20200908001224 |
| Provider Name | Blair N Limm-chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912327727 PECOS PAC ID: 7214292945 Enrollment ID: I20200911001317 |
| Provider Name | Aileen Y Tanaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942696489 PECOS PAC ID: 9234558412 Enrollment ID: I20201008000208 |
| Provider Name | Melanie C Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558773499 PECOS PAC ID: 1850518325 Enrollment ID: I20201019003005 |
| Provider Name | Timothy C Beaty |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477796258 PECOS PAC ID: 6709150139 Enrollment ID: I20201105002532 |
| Provider Name | Jessica Li Johns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841634342 PECOS PAC ID: 0345592911 Enrollment ID: I20201123001787 |
| Provider Name | James P Duca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447639877 PECOS PAC ID: 6608289822 Enrollment ID: I20210112001888 |
| Provider Name | Stephanie Jys Lim |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164833711 PECOS PAC ID: 5294149605 Enrollment ID: I20210126002767 |
| Provider Name | Kelsey M K Hamano-monma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841823804 PECOS PAC ID: 5092129031 Enrollment ID: I20210202002123 |
| Provider Name | Kimberley Michelle Gallant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851854053 PECOS PAC ID: 5890100580 Enrollment ID: I20210210000649 |
| Provider Name | James M Kyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609140052 PECOS PAC ID: 2466753330 Enrollment ID: I20210419002156 |
| Provider Name | Joy-sarah Y Vink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780822304 PECOS PAC ID: 8820254154 Enrollment ID: I20210603003177 |
| Provider Name | Rodolfo E Begue |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023031077 PECOS PAC ID: 0648454736 Enrollment ID: I20210604001495 |
| Provider Name | Monica a Nayakwadi-singer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225282916 PECOS PAC ID: 8325195571 Enrollment ID: I20210709002399 |
| Provider Name | Michael Krishna Rao |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1083093488 PECOS PAC ID: 5395166912 Enrollment ID: I20210714001950 |
| Provider Name | Adam J Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20210715003802 |
| Provider Name | Ricardo a Molero Bravo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376963603 PECOS PAC ID: 5991055501 Enrollment ID: I20210716001599 |
| Provider Name | Michael J Murayama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629572623 PECOS PAC ID: 8325442379 Enrollment ID: I20210812001988 |
| Provider Name | James L Barrese |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295984953 PECOS PAC ID: 7214106301 Enrollment ID: I20210923002749 |
| Provider Name | Kacie R. Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528596699 PECOS PAC ID: 5991193872 Enrollment ID: I20211026001537 |
| Provider Name | Carli L Bullis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922341486 PECOS PAC ID: 1759517253 Enrollment ID: I20211027002989 |
| Provider Name | Jennifer Sasaki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518347590 PECOS PAC ID: 3870982929 Enrollment ID: I20211111002065 |
| Provider Name | Misty L N Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336695311 PECOS PAC ID: 6800287731 Enrollment ID: I20220103000390 |
| Provider Name | Rajesh K Daniels |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033317912 PECOS PAC ID: 9234431941 Enrollment ID: I20220114001968 |
| Provider Name | Andrew J Sung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265875561 PECOS PAC ID: 1557755113 Enrollment ID: I20220224000262 |
| Provider Name | Robert J Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932558129 PECOS PAC ID: 5799071684 Enrollment ID: I20220303001488 |
| Provider Name | Christine a Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518623537 PECOS PAC ID: 0941695894 Enrollment ID: I20220311001784 |
| Provider Name | Paula S Lee |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1477637387 PECOS PAC ID: 8820032139 Enrollment ID: I20220502001105 |
| Provider Name | Melissa D Robey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245468362 PECOS PAC ID: 6608025341 Enrollment ID: I20220519000998 |
| Provider Name | Benakar F Batista |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053522276 PECOS PAC ID: 1850572017 Enrollment ID: I20220623000723 |
| Provider Name | Keiko Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598113615 PECOS PAC ID: 3971983396 Enrollment ID: I20220701001454 |
| Provider Name | Ingrid Chern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558850206 PECOS PAC ID: 4486035524 Enrollment ID: I20220720001611 |
| Provider Name | Jacob M Garcia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396150850 PECOS PAC ID: 8628375417 Enrollment ID: I20220818002323 |
| Provider Name | Jason a Spiker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689108235 PECOS PAC ID: 6305101551 Enrollment ID: I20220819002677 |
| Provider Name | Beatriz Brittany U B Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417611088 PECOS PAC ID: 1850775321 Enrollment ID: I20220901000575 |
| Provider Name | Tamara L Biega |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902812704 PECOS PAC ID: 0648655621 Enrollment ID: I20220912001167 |
| Provider Name | Hanna L Distel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841854460 PECOS PAC ID: 5597141796 Enrollment ID: I20220926000899 |
| Provider Name | Abigail M Otto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518461748 PECOS PAC ID: 3870840697 Enrollment ID: I20220927003571 |
| Provider Name | Alyssa J Malley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558852830 PECOS PAC ID: 7113303637 Enrollment ID: I20221005003692 |
| Provider Name | Matthew Allen a Lim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417511874 PECOS PAC ID: 1850767815 Enrollment ID: I20221014002887 |
| Provider Name | Katherine E Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649665753 PECOS PAC ID: 5991050734 Enrollment ID: I20221017002247 |
| Provider Name | Lindsey E Heathcock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457840563 PECOS PAC ID: 8123494549 Enrollment ID: I20221026000631 |
| Provider Name | Barbara Baglietto Jacquemin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700327939 PECOS PAC ID: 2062880966 Enrollment ID: I20221128001417 |
| Provider Name | Camille E Hebert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356846182 PECOS PAC ID: 6103294749 Enrollment ID: I20221201002071 |
| Provider Name | John M Iskander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043538762 PECOS PAC ID: 2163644584 Enrollment ID: I20221212001480 |
| Provider Name | Russell Romano-kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528452117 PECOS PAC ID: 9830593607 Enrollment ID: I20230103002642 |
| Provider Name | Karena Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598064255 PECOS PAC ID: 4587971080 Enrollment ID: I20230124003502 |
| Provider Name | August H Boeglin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902253891 PECOS PAC ID: 2567799166 Enrollment ID: I20230228001374 |
| Provider Name | Paul S Lewis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891012613 PECOS PAC ID: 4486928652 Enrollment ID: I20230414001686 |
| Provider Name | Mathew Harrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396156949 PECOS PAC ID: 8527338102 Enrollment ID: I20230605002693 |
| Provider Name | Sean Richard Shirley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235459587 PECOS PAC ID: 4981920782 Enrollment ID: I20230613000946 |
| Provider Name | Matthew C Kasprenski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558676429 PECOS PAC ID: 0446483408 Enrollment ID: I20230712004146 |
| Provider Name | Michael J Christ |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609839240 PECOS PAC ID: 0143490771 Enrollment ID: I20230718001688 |
| Provider Name | William Josiah Sherman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730476813 PECOS PAC ID: 2062886187 Enrollment ID: I20230814001625 |
| Provider Name | Lauren G Sword |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396204111 PECOS PAC ID: 5991169567 Enrollment ID: I20230914003363 |
| Provider Name | Apirada Thongsing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205320884 PECOS PAC ID: 8123367000 Enrollment ID: I20230918002567 |
| Provider Name | Rebecca R Phuoc |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619395480 PECOS PAC ID: 2961623541 Enrollment ID: I20230927004011 |
| Provider Name | Sophia B E Hufnagel |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1336465590 PECOS PAC ID: 6507167889 Enrollment ID: I20230928002695 |
| Provider Name | Yuki Yasaka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033588959 PECOS PAC ID: 7517263585 Enrollment ID: I20230928003571 |
| Provider Name | Grant C Sizemore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942682281 PECOS PAC ID: 7517311152 Enrollment ID: I20230929002255 |
| Provider Name | Latonya M Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669810800 PECOS PAC ID: 7113224593 Enrollment ID: I20231007000744 |
| Provider Name | Danielle L Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720730245 PECOS PAC ID: 8325416662 Enrollment ID: I20231013000209 |
| Provider Name | Natalie M Y Chin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760010516 PECOS PAC ID: 2264887033 Enrollment ID: I20231013002158 |
| Provider Name | Elizabeth Mercer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134784325 PECOS PAC ID: 0345696365 Enrollment ID: I20231027001486 |
| Provider Name | Erika Phelps Nishiguchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679968242 PECOS PAC ID: 2163737008 Enrollment ID: I20231106001763 |
| Provider Name | Joshua Zaritsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396871844 PECOS PAC ID: 0446355515 Enrollment ID: I20231109003436 |
| Provider Name | Huma K K Mirza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386919462 PECOS PAC ID: 3274812052 Enrollment ID: I20231117002136 |
| Provider Name | Mark T Ogino |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1477654598 PECOS PAC ID: 1658328059 Enrollment ID: I20240207000631 |
| Provider Name | Chelsey L Ruth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477081354 PECOS PAC ID: 0840633574 Enrollment ID: I20240208004119 |
| Provider Name | John K Verula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942080452 PECOS PAC ID: 9234572728 Enrollment ID: I20240212003810 |
| Provider Name | Rachna Anand |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467778472 PECOS PAC ID: 0446439582 Enrollment ID: I20240416000572 |
| Provider Name | Kristin-courtney K Okita |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437687530 PECOS PAC ID: 4183997836 Enrollment ID: I20240416002391 |
| Provider Name | Michelle Detka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669077152 PECOS PAC ID: 3072998756 Enrollment ID: I20240416004249 |
| Provider Name | Olaf Reinhartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679590376 PECOS PAC ID: 0042210197 Enrollment ID: I20240422002784 |
| Provider Name | John Joseph Lamberti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1518038371 PECOS PAC ID: 8123095155 Enrollment ID: I20240506004444 |
| Provider Name | Jorge a Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710065594 PECOS PAC ID: 1456395466 Enrollment ID: I20240509004021 |
| Provider Name | Daniel V Estess |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548720790 PECOS PAC ID: 2163864158 Enrollment ID: I20240522001434 |
| Provider Name | Elena Pal-wal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760454151 PECOS PAC ID: 3678654084 Enrollment ID: I20240627002249 |
| Provider Name | Shelley R Drummond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528201381 PECOS PAC ID: 5395964811 Enrollment ID: I20240712002585 |
| Provider Name | Katrina M Von Kriegenbergh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013270867 PECOS PAC ID: 0042519100 Enrollment ID: I20240715002441 |
| Provider Name | Alana M Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056253 PECOS PAC ID: 6800021460 Enrollment ID: I20240716001589 |
| Provider Name | Lyndsay D Long |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396373908 PECOS PAC ID: 4789120460 Enrollment ID: I20240718003292 |
| Provider Name | Olivia H Manayan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407470560 PECOS PAC ID: 6406392505 Enrollment ID: I20240725001080 |
| Provider Name | Megan Morisada |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144724329 PECOS PAC ID: 8325455330 Enrollment ID: I20240813003912 |
| Provider Name | Emma Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023770898 PECOS PAC ID: 3678938529 Enrollment ID: I20240816001957 |
| Provider Name | Lauren E Staiger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235520115 PECOS PAC ID: 9931412681 Enrollment ID: I20240821000198 |
| Provider Name | Gordon G Still |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245572684 PECOS PAC ID: 4981837143 Enrollment ID: I20240822002484 |
| Provider Name | Rutuja N Kibe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770072993 PECOS PAC ID: 6103366075 Enrollment ID: I20240905003684 |
| Provider Name | Malcolm J Macdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578584009 PECOS PAC ID: 9537266804 Enrollment ID: I20240910004813 |
| Provider Name | Joy S Kawamura |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437504123 PECOS PAC ID: 2163780404 Enrollment ID: I20240912001187 |
| Provider Name | La-tisha B Frazier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417006081 PECOS PAC ID: 5294041349 Enrollment ID: I20240918004126 |
| Provider Name | Faith D Hamamura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104406081 PECOS PAC ID: 1355882085 Enrollment ID: I20240923001000 |
| Provider Name | Robert E Ridout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407847239 PECOS PAC ID: 1456679778 Enrollment ID: I20240923003759 |
| Provider Name | Kaitlynn M Ebisutani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356965347 PECOS PAC ID: 3577004910 Enrollment ID: I20240925001762 |
| Provider Name | Kristin T Fujita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649633892 PECOS PAC ID: 3375919889 Enrollment ID: I20240926002196 |
| Provider Name | Mary T Craig |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134626542 PECOS PAC ID: 9032640396 Enrollment ID: I20240927001452 |
| Provider Name | Teimour a Nasirov |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366610263 PECOS PAC ID: 2567520745 Enrollment ID: I20240930003699 |
| Provider Name | Anna Elseth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215463385 PECOS PAC ID: 8224575873 Enrollment ID: I20241009003876 |
| Provider Name | Julia F Haruno |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1114423076 PECOS PAC ID: 0648643221 Enrollment ID: I20241009003982 |
| Provider Name | German a Lozano Guzman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558660423 PECOS PAC ID: 6608090675 Enrollment ID: I20241011000843 |
| Provider Name | Asia R K Ayabe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063036325 PECOS PAC ID: 1153853395 Enrollment ID: I20241014002005 |
| Provider Name | Geoffrey Yee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518586486 PECOS PAC ID: 9032641881 Enrollment ID: I20241017001824 |
| Provider Name | Christie Becu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831688803 PECOS PAC ID: 0244694438 Enrollment ID: I20241017003036 |
| Provider Name | Esther K Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992237788 PECOS PAC ID: 6103194097 Enrollment ID: I20241023002637 |
| Provider Name | Emily J Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639858723 PECOS PAC ID: 6406389477 Enrollment ID: I20241029003375 |
| Provider Name | Lee S Haruno |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134614233 PECOS PAC ID: 0749713360 Enrollment ID: I20241104002068 |
| Provider Name | Michael G Guindon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992092423 PECOS PAC ID: 2961937578 Enrollment ID: I20241119004303 |
| Provider Name | Samantha B Kaiser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619468972 PECOS PAC ID: 6901293893 Enrollment ID: I20241122000307 |
| Provider Name | Kara Motonaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073709648 PECOS PAC ID: 1052571916 Enrollment ID: I20250214001416 |
| Provider Name | Tristan E Knight |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497195242 PECOS PAC ID: 6608165493 Enrollment ID: I20250221000063 |
| Provider Name | Robert Long |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992148720 PECOS PAC ID: 9335534700 Enrollment ID: I20250307002269 |
| Provider Name | Elisabeth a Hoyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780261008 PECOS PAC ID: 5496295149 Enrollment ID: I20250317000568 |
| Provider Name | Miriam L Brazer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740778240 PECOS PAC ID: 9234653916 Enrollment ID: I20250403003807 |
| Provider Name | Laura a Borruso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700387560 PECOS PAC ID: 0042721961 Enrollment ID: I20250617004183 |
| Provider Name | Justin M Hannon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891353454 PECOS PAC ID: 3971010109 Enrollment ID: I20250730003687 |
| Provider Name | Heather Marie Green-schembra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922534791 PECOS PAC ID: 5496009383 Enrollment ID: I20250730003901 |
| Provider Name | Gerald E Bieniek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720491970 PECOS PAC ID: 4688043300 Enrollment ID: I20250813000614 |
| Provider Name | Corinne a Harvey |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1093155459 PECOS PAC ID: 1052811700 Enrollment ID: I20250826002864 |
| Provider Name | Vincent a Diaz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093007809 PECOS PAC ID: 9739320532 Enrollment ID: I20250826004773 |
| Provider Name | Janet Mansoor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518316231 PECOS PAC ID: 8123529724 Enrollment ID: I20250827000761 |
| Provider Name | Scott Sutherland |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518027291 PECOS PAC ID: 8426120163 Enrollment ID: I20250829001634 |
| Provider Name | Elaine Y Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114508702 PECOS PAC ID: 2961871009 Enrollment ID: I20250831000131 |
| Provider Name | Steffan K Soosman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396190245 PECOS PAC ID: 9638550429 Enrollment ID: I20250915003058 |
| Provider Name | Jaikaran Man Singh |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1518528678 PECOS PAC ID: 2062896186 Enrollment ID: I20250922002441 |
| Provider Name | Shaun Setty |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740469147 PECOS PAC ID: 9335212547 Enrollment ID: I20250923000829 |
| Provider Name | Priya Gyani |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285954842 PECOS PAC ID: 8224266812 Enrollment ID: I20251006003303 |
| Provider Name | Matthew a Bzdega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881957876 PECOS PAC ID: 1759524275 Enrollment ID: I20251007004205 |
| Provider Name | Kimberly a Kho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336372598 PECOS PAC ID: 2466591649 Enrollment ID: I20251007004230 |
| Provider Name | Leah P. Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659705077 PECOS PAC ID: 0547757692 Enrollment ID: I20251014001287 |
| Provider Name | Hannah J.M. Henderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932989894 PECOS PAC ID: 6800383753 Enrollment ID: I20251014003167 |
| Provider Name | Dylan S Goto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831753557 PECOS PAC ID: 5193260248 Enrollment ID: I20251015004464 |
| Provider Name | Lauren Lajos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205361383 PECOS PAC ID: 7416370416 Enrollment ID: I20251017000852 |
| Provider Name | Ruth Anne Queenan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467482505 PECOS PAC ID: 7315021524 Enrollment ID: I20251118003425 |
| Provider Name | Elizabeth Spooner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356329205 PECOS PAC ID: 9638488216 Enrollment ID: I20251122000435 |
| Provider Name | Kathleen C. Holsaeter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972065084 PECOS PAC ID: 5092040733 Enrollment ID: I20251202002843 |
| Provider Name | Keith D Volner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1609257849 PECOS PAC ID: 6901267020 Enrollment ID: I20251208003268 |
| Provider Name | Christopher W. Marenco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093173890 PECOS PAC ID: 1254673866 Enrollment ID: I20251210000095 |
| Provider Name | Hiroo Kinami |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720640337 PECOS PAC ID: 8325450703 Enrollment ID: I20251211004035 |
| Provider Name | Jacqueline M Placette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508201633 PECOS PAC ID: 1759632268 Enrollment ID: I20251216001305 |
| Provider Name | Zachary R Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245976109 PECOS PAC ID: 7810482148 Enrollment ID: I20251223003354 |
| Provider Name | Sherry C. Gaillard |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1285897512 PECOS PAC ID: 8820584808 Enrollment ID: I20251229003052 |
| Provider Name | Haley S Fujimori |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497520852 PECOS PAC ID: 9436645371 Enrollment ID: I20251231000258 |
| Provider Name | Shina Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750585055 PECOS PAC ID: 3577850312 Enrollment ID: I20260107002752 |
| Provider Name | Cynthia Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841214376 PECOS PAC ID: 6305872243 Enrollment ID: I20260108001359 |
| Provider Name | Karen J Parsell Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063467397 PECOS PAC ID: 5294757118 Enrollment ID: I20260129002905 |
| Provider Name | Chelsea K Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902487861 PECOS PAC ID: 9234619354 Enrollment ID: I20260217003298 |
| Provider Name | Kelli Kaneta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679133789 PECOS PAC ID: 0941660021 Enrollment ID: I20260323002171 |
| Provider Name | Claire P Witmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023437431 PECOS PAC ID: 9133498439 Enrollment ID: I20260325003796 |
| Provider Name | Michael J Thesing |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821084294 PECOS PAC ID: 7911180567 Enrollment ID: I20260326001510 |
| Provider Name | Zachary C Affrin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386272805 PECOS PAC ID: 4183161524 Enrollment ID: I20260401002023 |
| Provider Name | Kelley M Sonney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043709066 PECOS PAC ID: 0244700599 Enrollment ID: I20260527004241 |
Sbk Medical Consulting Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1441 Kapiolani Blvd Ste 606, Honolulu, HI 96814 Phone: 808-951-9931 |
Emily Diep, M.D., LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 321 N Kuakini St, Suite Number 715, Honolulu, HI 96817 Phone: 808-523-6461 Fax: 808-550-0466 |
Restoration Health Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 18th Ave, Honolulu, HI 96816 Phone: 808-892-7571 |
Central Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 N. Kuakini St., Suite #201, Honolulu, HI 96817 Phone: 808-523-8611 |
Frederick Fong MD Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1380 Lustiana Street, Suite 514, Honolulu, HI 96813 Phone: 808-531-7551 Fax: 808-537-3652 |
Dr Jin Kim Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2851 E Manoa Rd Ste 1-205, Honolulu, HI 96822 Phone: 808-988-6113 |