Fortunato V. Elizaga M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

2452 Issued in HI

Legal business name

FORTUNATO V. ELIZAGA M.D., INC

Practice address

1712 Liliha St
Suite 306
Honolulu, HI 96817-5410

Phone

(808) 524-1144

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nieva G. Elizaga

Title

Office Manager

Phone

(808) 524-1144

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083723910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST STE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173114",
            "telephone_number": "808-524-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-524-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNATO V. ELIZAGA M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELIZAGA",
        "authorized_official_first_name": "NIEVA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-524-1144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03406601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jurnee Fortes-Jech
• Allison Fortier, SLP
• Josefina Leyva Fortin
• Sigrid Leyva Fortin
• Chia Fortuna, LMT
• Isaac Ray Foss
• Cecilia Foster-Laifa
• Kerryleigh Foster
• Renee Reine Foster, APRN, FNP, PMHNP,DNP
• Shenelle Micole Foster, LCSW

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.