ANTONIO PROVENCIO (NPI# 1821598699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821598699 |
Entity Type | Individual |
Full Name | ANTONIO PROVENCIO |
Credential | LAC |
Practice Address |
98-199 Kamehameha Hwy Ste F3 Aiea HI 96701 |
Mailing Address |
98-199 Kamehameha Hwy Ste F3 Aiea HI 96701-4820 |
Practice Telephone | 8083641555 |
Mailing Telephone | 8083641555 |
Mailing Fax Number | 8447719312 |
Enumeration Date | 2018-02-17 |
Last Update Date | 2018-07-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171100000X | Acupuncturist | CA | Other Service Providers | |
Y | 171100000X | Acupuncturist | HI | Other Service Providers | |
N | 225700000X | Massage Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ACUPUNCTURE STATE LICENSE | 17178 | 01 |
NPI FOR EAST 2 WEST INTEGRATIVE MEDICINE | 1740780949 | 01 | |
HI | ACUPUNCTURE STATE LICENSE | 1231 | 01 |
Street Address |
98-199 KAMEHAMEHA HWY STE F3 |
City | AIEA |
State | HI |
Zip Code | 96701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
1487268157 | Han Yang | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701-4820 | 2020-09-01 |
1588209522 | Chelsea Miyashiro | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701-4820 | 2019-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
1194196196 | Lauren K Yoshida | Psychologist | 99-080 Kauhale St Ste C20, Aiea, HI 96701 | 2015-10-15 |
Find all providers in zip 96701 |
Taxonomy Code | 171100000X |
Grouping | Other Service Providers |
Classification | Acupuncturist |
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
1093041717 | Cindy M Chang | Acupuncturist | 99-115 Aiea Heights Dr Ste 219, Suite 219, Aiea, HI 96701-3974 | 2009-10-30 |
1902026867 | Aaron T. Kusatsu | Acupuncturist | 99-128 Aiea Heights Dr Ste 302, Aiea, HI 96701-3933 | 2007-04-25 |
1487268157 | Han Yang | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701-4820 | 2020-09-01 |
1588209522 | Chelsea Miyashiro | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701-4820 | 2019-11-13 |
1154450369 | Brandie Hirai | Acupuncturist | 98-1247 Kaahumanu St, Ste 322, Aiea, HI 96701-5311 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396345534 | William Cotter IIi | Acupuncturist | 3681 Baldwin Ave # F-101, Makawao, HI 96768-7505 | 2020-10-27 |
1265032742 | Courtney Dusschee | Acupuncturist | 12-7236 Mauka Nui St, Pahoa, HI 96778-8008 | 2020-10-26 |
1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
1902428139 | Darko Vidak | Acupuncturist | 2375 Ala Wai Blvd, Honolulu, HI 96815-3448 | 2020-05-11 |
1043848187 | Amy Neal | Acupuncturist | 94-1042 Ka Uka Blvd Ste 203, Waipahu, HI 96797-6209 | 2020-04-01 |
1871120857 | Deanna Rose Ahigian | Acupuncturist | 3634 Woodlawn Terrace Pl, Honolulu, HI 96822-1475 | 2020-03-27 |
1649802505 | Agnes Ohara | Acupuncturist | 1750 Kalakaua Ave Apt 808, Honolulu, HI 96826-3725 | 2020-02-09 |
1023656501 | Yoleida Paez I | Acupuncturist | 22 Oneawa St Ste C, Kailua, HI 96734-2527 | 2019-12-16 |
1669014932 | Victor Jingxu Tan | Acupuncturist | 1005 14th Ave, Honolulu, HI 96816-3629 | 2019-10-08 |
1659913937 | Brandon Flewelling | Acupuncturist | 2525 S King St Ste 304, Honolulu, HI 96826-3154 | 2019-10-08 |
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.