NPIMap

Individual provider Active NPI

Christopher Paul McDonald Carbullido, MEDICAL STUDENT

  • Family Medicine Physician
  • Aiea, HI
National Provider Identifier
1093342685
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOSR-563 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735
Phone
(808) 627-3255
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-0137 GU
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DOSR-563 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735

Mailing address

99-905 Aiea Heights Dr
Aiea, HI 96701-3003

Other practice location 1

500 University Pkwy Apt 318
Yakima, WA 98901-8233
Phone (808) 673-0419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250724002415 GU Practitioner - Internal Medicine 7618484742 Reassigns benefits to 1 organization
I20250903000797 HI Practitioner - Family Practice 7618484742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guam Healthcare Development Incorporated 211 clinicians
Castle Medical Center 77 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

321 N Kuakini St
Suite 201
Honolulu, HI 96817-2399
Phone (808) 523-8611

Hospital & facility affiliations

  • Guam Regional Medical City Hospital, Dededo, GU, CCN 650003
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-0137GUMDFamily Medicine Physician
DOSR-563HIMDFamily Medicine Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Castle Medical Center Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Castle Medical Center CurrentSince Oct 1, 2025 Accepting new patients
Guam Healthcare Development Incorporated Single Specialty CurrentSince Jul 28, 2025 Accepting new patients
Guam Healthcare Development Incorporated Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Networks

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

Interoperability endpoints

  • Direct secure messaging: christopherpaul.carbullido@43479566319620.direct.elationemr.com

Organizations & group practices 6

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 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1093342685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-905 AIEA HEIGHTS DR",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 3030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014735",
            "telephone_number": "808-627-3255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Pkwy Apt 318",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989018233",
            "country_code": "US",
            "telephone_number": "808-673-0419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBULLIDO",
        "first_name": "CHRISTOPHER PAUL",
        "middle_name": "MCDONALD",
        "credential": "MEDICAL STUDENT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "DO-0137",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOSR-563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.