ANTONIO PROVENCIO


Address: 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701
Phone: 8083641555

ANTONIO PROVENCIO (NPI# 1821598699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 98-199 KAMEHAMEHA HWY STE F3
City AIEA
State HI
Zip Code 96701

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City AIEA
Zip Code 96701

Improve Information

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Dataset Information

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.

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