NPIMap

Organization Active NPI

Castle Physician Network

  • Family Medicine Physician
  • Pearl City, HI
National Provider Identifier
1043917693
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CASTLE PHYSICIAN NETWORK
Practice address
1245 Kuala St # 13
Pearl City, HI 96782-3900
Phone
(808) 456-2273
NPI assigned
Feb 14, 2023
Organization subpart
Yes
Parent organization
CASTLE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Derek A. Dickard
Title
Director of Business Development
Phone
(808) 263-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1245 Kuala St # 13
Pearl City, HI 96782-3900

Mailing address

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5011

National Provider Directory

National Provider Directory
Part of
Castle Memorial Hospita

Locations

910710 Farrington Hwy A100
Los Angeles, CA 90084

91-710 Farrington Hwy
Ste A100
Kapolei, HI 96707
Phone (808) 521-2273

1245 Kuala St
#13
Pearl City, HI 96782
Phone (808) 456-2273

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1043917693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-263-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 KUALA ST # 13",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823900",
            "telephone_number": "808-456-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL CENTER",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "DICKARD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "808-263-5011"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.