Individual provider Active NPI

Antoine Jean Cazin, M.D.

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1043314511
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9642 Issued in HI
Practice address
4211 Waialae Ave
#507
Honolulu, HI 96816-5306
Phone
(808) 732-0880
Fax
(808) 732-0882
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9642 HI Primary

Addresses

Primary practice location

4211 Waialae Ave
#507
Honolulu, HI 96816-5306

Mailing address

4211 Waialae Ave
#507
Honolulu, HI 96816-5306
Phone (808) 732-0880

Other identifiers 1

IdentifierTypeStateIssuer
08112401MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601001119 HI Practitioner - General Practice 0345222782 Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9642HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Plastic Surgery, Inc. Past Accepting new patients

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1043314511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "#507",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165306",
            "telephone_number": "808-732-0880",
            "fax_number": "808-732-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE",
            "address_2": "#507",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165306",
            "telephone_number": "808-732-0880",
            "fax_number": "808-732-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZIN",
        "first_name": "ANTOINE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "9642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08112401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.