CHANG DICH LAI M.D. INC (NPI# 1255769303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255769303 |
| Entity Type | Organization |
| Organization Name | CHANG DICH LAI M.D. INC |
| Practice Address |
1380 Lusitana St Suite 1015 Honolulu HI 96813-2449 |
| Practice Telephone | 8085376761 |
| Practice Fax Number | 8085376740 |
| Mailing Telephone | 8085376761 |
| Mailing Fax Number | 8085376740 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | DR. CHANG DICH LAI (PRESIDENT) |
| Authorized Official Telephone | 8085376761 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MD6970 | HI | Managed Care Organizations |
| Street Address |
1380 LUSITANA ST SUITE 1015 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016383 | Denny L Bales | Specialist | 1380 Lusitana St, Suite 1002, Honolulu, HI 96813-2449 | 2005-07-11 |
| 1780183467 | Greg Inoue | Pharmacist | 1380 Lusitana St, Honolulu, HI 96813-2449 | 2018-02-07 |
| 1174073803 | Edith Pang Md LLC | Internal Medicine | 1380 Lusitana St, Suite 404, Honolulu, HI 96813-2449 | 2016-10-05 |
| 1538515218 | Aloha Heart and Vascular Institute LLC | Internal Medicine | 1380 Lusitana St, Suite 902, Honolulu, HI 96813-2449 | 2016-05-11 |
| 1568836195 | Elaine Tsukayama, Md, LLC | Pediatrics | 1380 Lusitana St, Ste 907, Honolulu, HI 96813-2449 | 2015-11-19 |
| 1619348521 | Darius H Amjadi,md,inc | Clinic/Center | 1380 Lusitana St, Honolulu, HI 96813-2449 | 2015-10-19 |
| 1366810780 | Judy T. Okimura, Md LLC | Pediatrics | 1380 Lusitana St, Suite 404, Honolulu, HI 96813-2449 | 2015-09-02 |
| 1861812729 | Lana M. Arakaki, Md, Inc | Clinic/Center | 1380 Lusitana St, Suite 514, Honolulu, HI 96813-2449 | 2014-04-18 |
| 1356785547 | Vincent J. Nip, M.d., Inc | Plastic Surgery | 1380 Lusitana St, Suite 808, Honolulu, HI 96813-2449 | 2013-04-18 |
| 1922347681 | Jaime Lyn Hahn | Nurse Practitioner | 1380 Lusitana St, 407, Honolulu, HI 96813-2449 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649722547 | Dental Technology Center of Hawaii LLC | Preferred Provider Organization | 1314 S King St Ste 724, Honolulu, HI 96814-1942 | 2016-10-26 |
| 1265771828 | Donald E Nicol Md Inc | Preferred Provider Organization | 549 Halemaumau St Ste F, Honolulu, HI 96821-2150 | 2013-02-01 |
| 1649569229 | Stephen S. Gee,md, Inc. | Preferred Provider Organization | 1210 Ward Ave, Honolulu, HI 96814-1422 | 2011-04-04 |
| 1457587735 | Steven K. Sue, D.d.s., M.s., Inc. | Preferred Provider Organization | 2065 S King St Ste 304, Honolulu, HI 96826-2225 | 2009-06-01 |
| 1003066952 | Riichiro Sato, D.m.d., Ph.d. | Preferred Provider Organization | 1441 Kapiolani Blvd, Suite 722, Honolulu, HI 96814-4402 | 2008-09-29 |
| 1134346299 | Cecil Riter Dds. Inc | Preferred Provider Organization | 1441 Kapiolani Blvd, Ste#905, Honolulu, HI 96814-4402 | 2007-04-19 |
| 1457446585 | Pediatric Medical Group, LLC | Preferred Provider Organization | 1712 Liliha Street, Suite304, Honolulu, HI 96817-3114 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821409236 | Facial808 | Preferred Provider Organization | 73-4520 Hawaii Belt Road, Kailua-kona, HI 96740 | 2014-05-20 |
| 1285865170 | Sweet Tooth Dental Inc. | Preferred Provider Organization | 75-5660 Kopiko St Ste B2, Kailua Kona, HI 96740-3121 | 2009-07-27 |
| 1720029606 | Puna Kamalii Flowers, Inc. | Preferred Provider Organization | 16-211 Kalara St, Keaau, HI 96749-8005 | 2006-06-09 |
| 1326277500 | Gaerlan-tokunaga, Dds, Inc | Preferred Provider Organization | 94-307 Farrington Hwy Ste A10, Waipahu, HI 96797-2500 | 2009-07-08 |
| 1912928367 | Hawaii Vision Clinic Inc | Preferred Provider Organization | 99-128 Aiea Heights Dr, Ste 703, Aiea, HI 96701-3978 | 2006-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.