DERYLL U AMBROCIO (NPI# 1730301219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730301219 |
| Entity Type | Individual |
| Full Name | DERYLL U AMBROCIO |
| Credential | MD |
| Practice Address |
1329 Lusitana St Suite 804 Honolulu HI 96813-2429 |
| Practice Telephone | 8085317111 |
| Practice Fax Number | 8085285507 |
| Mailing Telephone | 8085317111 |
| Mailing Fax Number | 8085285507 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD-15066 | HI | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
0101242738 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA BILLING NUMBER | 00A0285294 | 01 |
| HI | 635948-01 | 05 |
| Street Address |
1329 LUSITANA ST SUITE 804 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021878 | Terry A Vernoy | Orthopaedic Surgery | 1329 Lusitana St, Ste 206, Honolulu, HI 96813-2411 | 2005-05-24 |
| 1235639386 | Briana Kamele King | Dietitian, Registered | 1329 Lusitana St, Honolulu, HI 96813-2429 | 2018-02-15 |
| 1700396124 | Paul Okada-coelho | Clinical Nurse Specialist | 1329 Lusitana St, 409, Honolulu, HI 96813 | 2017-10-11 |
| 1962953372 | Hawaii Pain Specialists LLC | Durable Medical Equipment & Medical Supplies | 1329 Lusitana St, Suite 102, Honolulu, HI 96813-2429 | 2016-10-20 |
| 1033565981 | Hawaii Cancer Care Inc | Specialist | 1329 Lusitana St, Ste 307, Honolulu, HI 96813 | 2016-05-10 |
| 1992179683 | Gregg M Yamada, Md, Inc | Internal Medicine | 1329 Lusitana St, # 301, Honolulu, HI 96813-2429 | 2015-11-18 |
| 1255704458 | Shaina M. Sonobe Md, Inc | Anesthesiology | 1329 Lusitana St, Suite 604, Honolulu, HI 96813-2431 | 2015-11-10 |
| 1487041307 | Pacific Diabetes and Endocrine Center Inc | Internal Medicine | 1329 Lusitana St, Suite 807, Honolulu, HI 96813-2429 | 2015-04-17 |
| 1912390386 | Roy K Esaki Md | Anesthesiology | 1329 Lusitana St, Suite 604, Honolulu, HI 96813-2429 | 2015-03-10 |
| 1063815678 | Gwen Auyong Fnp LLC | Nurse Practitioner | 1329 Lusitana St, Suite 409, Honolulu, HI 96813-2429 | 2014-09-28 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929011 | Daniel F Brandt | Internal Medicine | 500 Ala Moana Blvd Ste 5-300, Honolulu, HI 96813-4900 | 2005-11-17 |
| 1881249688 | Heejae Jung | Internal Medicine | 1329 Lusitana St Ste 206, Honolulu, HI 96813-2411 | 2019-08-08 |
| 1437402104 | Daniel F Brandt Md Inc | Internal Medicine | 500 Ala Moana Blvd Ste 5-300, Honolulu, HI 96813-4900 | 2012-10-18 |
| 1952691156 | Erinn E Maury Md LLC | Internal Medicine | 848 S Beretania St, #309, Honolulu, HI 96813-2551 | 2011-04-10 |
| 1992012314 | Denny A. Nakayama, M.d., Inc | Internal Medicine | 321 N Kuakini St, Suite 814, Honolulu, HI 96817-2364 | 2010-09-07 |
| 1679707103 | Deryll U Ambrocio Md Incorporated | Internal Medicine | 1329 Lusitana St, Suite 804, Honolulu, HI 96813-2429 | 2009-05-12 |
| 1952576605 | Tracie Lynn Kurano | Internal Medicine | 888 S King St, Honolulu, HI 96813-3097 | 2008-04-24 |
| 1841325602 | Janice K H Zane | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4430 | 2007-02-22 |
| 1902907058 | James Mckoy | Internal Medicine | 2828 Paa St, Honolulu, HI 96819-4405 | 2006-09-25 |
| 1114035607 | Alberto S. Santos-ocampo | Internal Medicine | 888 S King St, Honolulu, HI 96813-3009 | 2006-08-26 |
| Find all providers in HONOLULU | ||||
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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.