Individual provider Active NPI

Joshua Nguyen, PA-C

  • Physician Assistant
  • Kailua Kona, HI
National Provider Identifier
1093144339
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2013-0078 Issued in NM
Practice address
75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705
Phone
(808) 326-5629
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2013-0078 NM
Physician Assistant 363A00000X PA2013-0078 NM Primary

Addresses

Primary practice location

75-5751 Kuakini Hwy Ste 101a
Kailua Kona, HI 96740-1705

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-5629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131212000798 NM Practitioner - Physician Assistant 2264669589 Reassigns benefits to 1 organization
I20200506000470 HI Practitioner - Physician Assistant 2264669589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hawaii Community Health Center IncGroup PAC ID 1557389400, 63 clinicians

Practice addresses (Care Compare)

68 -1845 Waikoloa Rd
Waikoloa, HI 96738-5581
Phone (808) 769-5160

75-5751 Kuakini Hwy
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Kailua Kona, HI 96740-1705
Phone (808) 326-5629

75-5751 Kuakini Hwy 203
Kailua Kona, HI 96740-1752

81 -980 Halekii St
Kealakekua, HI 96750-8177

Hospital & facility affiliations

  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2013-0078NMMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. CurrentSince Jun 8, 2024 Accepting new patients
Family Practice Associates of Taos CurrentSince Jan 21, 2015 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Jun 8, 2024 Accepting new patients

Locations

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

630 Paseo del Pueblo Sur
Ste 150
Taos, NM 87571
Phone (505) 758-3005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2635/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1093144339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-326-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 101A",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401705",
            "telephone_number": "808-326-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2013-0078",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.