NPIMap

Organization Active NPI

Warfighter'S Clinic

  • Pain Medicine Physician
  • Kapolei, HI
National Provider Identifier
1003357765
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD 13015 Issued in HI
Legal business name
WARFIGHTER'S CLINIC
Practice address
91-1027 Shangrila St
BLDG 1867
Kapolei, HI 96707-2101
Phone
(808) 345-6832
Fax
(808) 674-9696
NPI assigned
Mar 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Norifusa John Anegawa, MD, PHD
Title
Managing Partner
Phone
(808) 345-6832

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X MD 13015 HI
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X MD 13015 HI Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT 1815 HI

Addresses

Primary practice location

91-1027 Shangrila St
BLDG 1867
Kapolei, HI 96707-2101

Mailing address

91-1027 Shangrila St
BLDG 1867
Kapolei, HI 96707-2101
Phone (808) 345-6832

National Provider Directory

National Provider Directory

Locations

91-1027 Shangrila St
Bldg 1867
Kapolei, HI 96707
Phone (808) 674-9595

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 89

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1003357765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1027 SHANGRILA ST",
            "address_2": "BLDG 1867",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072101",
            "telephone_number": "808-345-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1027 SHANGRILA ST",
            "address_2": "BLDG 1867",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072101",
            "telephone_number": "808-345-6832",
            "fax_number": "808-674-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARFIGHTER'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "ANEGAWA",
        "authorized_official_first_name": "NORIFUSA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "808-345-6832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "HI",
            "license": "MD 13015",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "HI",
            "license": "MD 13015",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "HI",
            "license": "PT 1815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.