| Pacific Vascular Associates, Llc | |
|
98-1079 Moanalua Rd Ste 620 Aiea HI 96701-4716 | |
| (808) 486-7775 | |
| (808) 486-5558 |
| Full Name | Pacific Vascular Associates, Llc |
|---|---|
| Speciality | Surgery |
| Location | 98-1079 Moanalua Rd Ste 620, Aiea, Hawaii |
| Authorized Official Name and Position | Amr El-sergany (PRESIDENT) |
| Authorized Official Contact | 3528707393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Vascular Associates, Llc 98-1079 Moanalua Rd Ste 620 Aiea HI 96701-4716 Ph: (808) 486-7775 | Pacific Vascular Associates, Llc 98-1079 Moanalua Rd Ste 620 Aiea HI 96701-4716 Ph: (808) 486-7775 |
| NPI Number | 1154888014 |
|---|---|
| Provider Enumeration Date | 02/27/2019 |
| Last Update Date | 07/03/2025 |
| Medicare PECOS PAC ID | 9537598859 |
|---|---|
| Medicare Enrollment ID | O20200407001409 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154888014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | (* (Not Available)) | Primary |
| Provider Name | Nathan P Tomita |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255312401 PECOS PAC ID: 5698758340 Enrollment ID: I20120803000218 |
| Provider Name | Heather Hokulani Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972849917 PECOS PAC ID: 0345493482 Enrollment ID: I20130123000404 |
| Provider Name | Gina Puen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679834741 PECOS PAC ID: 9830334168 Enrollment ID: I20130314000272 |
| Provider Name | Ammaar El-sergany |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669766747 PECOS PAC ID: 3375764251 Enrollment ID: I20141017000497 |
| Provider Name | Amr El-sergany |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1639484603 PECOS PAC ID: 0042523789 Enrollment ID: I20170821002185 |
| Provider Name | Ali Yasser El Sergany |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871650002 PECOS PAC ID: 8729413943 Enrollment ID: I20200116001854 |
| Provider Name | Cole Koichi Nishikawa |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245611912 PECOS PAC ID: 5496184582 Enrollment ID: I20200413001230 |
| Provider Name | Horng J Lin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255395398 PECOS PAC ID: 8921062969 Enrollment ID: I20210811000771 |
| Provider Name | Richard Parsons |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396813283 PECOS PAC ID: 8426030099 Enrollment ID: I20211230001269 |
| Provider Name | Delaram Taghipour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407271521 PECOS PAC ID: 0042509648 Enrollment ID: I20220208001456 |
| Provider Name | James Antezana |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134174436 PECOS PAC ID: 4688684012 Enrollment ID: I20230125003298 |
| Provider Name | Robert Mcmurray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275971772 PECOS PAC ID: 8123358975 Enrollment ID: I20230307001268 |
| Provider Name | Stephanie Lynn Silvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275396863 PECOS PAC ID: 4587000351 Enrollment ID: I20240314003636 |
Rice Consultancy Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, Suite 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 | |
Ky Le Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Aiea, HI 96701 Phone: 808-536-0300 | |
California Gastroenterology Consultants, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-199 Kamehameha Hwy Unit C-108, Aiea, HI 96701 Phone: 808-425-2376 Fax: 888-859-0148 | |
Yousif A-rahim Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-211 Pali Momi St, 312, Aiea, HI 96701 Phone: 808-486-0449 Fax: 808-488-0725 | |
Luis J. Ragunton, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd, Suite 440, Aiea, HI 96701 Phone: 808-488-8750 Fax: 808-487-5910 | |
Mark A Morisaki Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1079 Moanalua Rd Ste 620, Aiea, HI 96701 Phone: 808-488-2224 | |
Randall J. Nitta, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 98-1247 Kaahumanu St Ste 306, Aiea, HI 96701 Phone: 808-484-2904 Fax: 808-484-2864 |