NPIMap

Organization Active NPI

Honolulu Vamc

  • VA Clinic/Center
  • Kapolei, HI
National Provider Identifier
1043554140
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
HONOLULU VAMC
Practice address
91-1051 Franklin D Roosevelt Ave
Kapolei, HI 96707-9998
Phone
(702) 341-3020
NPI assigned
Nov 15, 2012
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Erin Potter
Title
Npi Team
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X NU Primary

Addresses

Primary practice location

91-1051 Franklin D Roosevelt Ave
Kapolei, HI 96707-9998

Mailing address

PO Box 94406
Cleveland, OH 44101-4406
Phone (702) 341-3020

Other names 1

  • KAPOLEI VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Honolulu Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

91-2135 Fort Weaver Rd
Ste 501
Ewa Beach, HI 96706
Phone (808) 312-6800

91-1051 Franklin D Roosevelt Ave
Kapolei, HI 96707
Phone (800) 214-1306

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1043554140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94406",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014406",
            "telephone_number": "702-341-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1051 FRANKLIN D ROOSEVELT AVE",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967079998",
            "telephone_number": "702-341-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAPOLEI VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KAPOLEI VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 5, 2024; 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.