HONOLULU PAIN MANAGEMENT CLINIC, LLC (NPI# 1427390210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427390210 |
| Entity Type | Organization |
| Organization Name | HONOLULU PAIN MANAGEMENT CLINIC, LLC |
| Practice Address |
500 Ala Moana Blvd 1 Waterfront Plaza Suite 302 Honolulu HI 96813-4920 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 100 Los Angeles CA 90077-1726 |
| Practice Telephone | 8085283657 |
| Mailing Telephone | 3104749809 |
| Mailing Fax Number | 8884318819 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. JEFFREY S. WANG (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8085283657 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HONOLULU PAIN MANAGEMENT CLINIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
500 ALA MOANA BLVD 1 WATERFRONT PLAZA SUITE 302 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366874 | Honolulu Surgery Center Lp | Clinic/Center | 500 Ala Moana Blvd, Tower 1 Suite 1b, Honolulu, HI 96813-4920 | 2006-04-20 |
| 1306444328 | Kayla Maher | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-10-12 |
| 1679197511 | Hannah Post | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-06-06 |
| 1225652142 | Gabrielle Del Rosario | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2020-06-05 |
| 1689224024 | Access To Care America | Clinic/Center | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-09-18 |
| 1689224644 | Christopher Matthew Knightsbridge | Counselor | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-09-12 |
| 1891342390 | Shannon Lundeen-kreuzer | Behavior Technician | 500 Ala Moana Blvd, Attn: Behavioral Health Works, Honolulu, HI 96813-4920 | 2019-08-20 |
| 1598311185 | William James Woodin | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2019-08-10 |
| 1588133383 | Yuna Chang | Nurse Practitioner | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-21 |
| 1821566860 | Charissa Taylor | Behavior Technician | 500 Ala Moana Blvd, Honolulu, HI 96813-4920 | 2018-11-07 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295811636 | Mankwan Wong, M.d., LLC | Non-Pharmacy Dispensing Site | 1750 Kalakaua Ave Ste 108, Honolulu, HI 96826-3700 | 2006-10-28 |
| 1902242449 | Ken G. Sakuda, Dpm, LLC | Non-Pharmacy Dispensing Site | 321 N Kuakini St, Suite 801, Honolulu, HI 96817-2364 | 2013-05-10 |
| 1689019176 | Glenn M. L. Pang, Md, Inc | Non-Pharmacy Dispensing Site | 2226 Liliha St, Suite 405, Honolulu, HI 96817-1600 | 2013-05-09 |
| 1306281068 | Irene S. Kawakami Yamamoto, Md, Inc | Non-Pharmacy Dispensing Site | 1481 S King St, Suite 343, Honolulu, HI 96814-2601 | 2013-05-07 |
| 1164764957 | Academy Foot Center of Hawaii, Inc | Non-Pharmacy Dispensing Site | 1329 Lusitana St, Suite 801, Honolulu, HI 96813-2429 | 2013-03-20 |
| 1477806214 | Michael B. Russo Md Inc | Non-Pharmacy Dispensing Site | 320 Ward Ave, Suite 101, Honolulu, HI 96814-4001 | 2012-10-17 |
| 1215008594 | Kamaaina Vision Center | Non-Pharmacy Dispensing Site | 508 Atkinson Dr, Honolulu, HI 96814-4728 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073077988 | Clarence D Harkness Dpm | Non-Pharmacy Dispensing Site | 73 Puuhonu Pl Ste 105, Hilo, HI 96720-2060 | 2019-01-24 |
| 1104173764 | Hawaii Whole Person Healing Collective, LLC | Non-Pharmacy Dispensing Site | 15-3039 Pahoa Village Rd, Pahoa, HI 96778-9677 | 2012-08-13 |
| 1871534735 | Straub Clinic & Hospital | Non-Pharmacy Dispensing Site | 628 - B Seventh St, Lanai City, HI 96763 | 2006-06-09 |
| 1669803623 | Susan M.s. Cauley, M.d., Inc. | Non-Pharmacy Dispensing Site | 82 Puuhonu Pl, Suite 202, Hilo, HI 96720-2010 | 2013-12-02 |
| 1558706960 | Ka Wai Ola Family Medical Clinic, LLC | Non-Pharmacy Dispensing Site | 94-849 Lumiaina St, Unit 207, Waipahu, HI 96797-5677 | 2013-04-30 |
| 1730421934 | Midori International, Inc | Non-Pharmacy Dispensing Site | 81-6629 Mamalahoa Hwy, Kealakekua, HI 96750-8184 | 2013-03-26 |
| 1972849073 | Lokahi Health Center, Inc | Non-Pharmacy Dispensing Site | 75-169 Hualalai Rd, Suite 301, Kailua Kona, HI 96740-1744 | 2012-12-17 |
| 1790020923 | Jacqueline Hahn | Non-Pharmacy Dispensing Site | 142 Kinoole St, Suite B, Hilo, HI 96720-2838 | 2012-11-28 |
| 1871837302 | Liza Maniquis-smigel, M.d., LLC | Non-Pharmacy Dispensing Site | 136a Ululani St, Hilo, HI 96720-2946 | 2012-11-21 |
| 1144570490 | Hilo Natural Health Clinic, LLC | Non-Pharmacy Dispensing Site | 152 Puueo St, Hilo, HI 96720-2429 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
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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.