Individual provider Active NPI

Agnes Serranilla-Sonido, MD

  • Family Medicine Physician
  • Waipahu, HI
National Provider Identifier
1093450454
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-25424 Issued in HI
Practice address
94-837 Waipahu St
Waipahu, HI 96797-3320
Phone
(808) 671-3911
Fax
(808) 677-2720
NPI assigned
Apr 30, 2022
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 MDR-8277 HI
Family Medicine Physician 207Q00000X MD-25424 HI Primary

Addresses

Primary practice location

94-837 Waipahu St
Waipahu, HI 96797-3320

Mailing address

94-837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Other identifiers 1

IdentifierTypeStateIssuer
012475MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725004208 HI Practitioner - Family Practice 2860909710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charlie Y Sonido M D LLCGroup PAC ID 8224931928, 18 clinicians

Practice addresses (Care Compare)

94 -837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-8277HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlie Y Sonido M D LLC CurrentSince Aug 15, 2025 Accepting new patients
Antonio D Ramos MD Inc PastSince Sep 1, 1996 Accepting new patients

Locations

1022 Gulick Ave
Honolulu, HI 96819
Phone (808) 847-4659

1712 Liliha St
Ste 306
Honolulu, HI 96817
Phone (808) 524-1144

1807 N King St
Ste 101
Honolulu, HI 96819
Phone (808) 841-4195

2119 N King St
Honolulu, HI 96819

94-141 Pupupuhi St
Waipahu, HI 96797
Phone (808) 671-2528

94-837 Waipahu St
Waipahu, HI 96797
Phone (808) 671-3911

Networks

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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1651276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1093450454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-837 WAIPAHU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973320",
            "telephone_number": "808-671-3911",
            "fax_number": "808-677-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-837 WAIPAHU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973320",
            "telephone_number": "808-671-3911",
            "fax_number": "808-677-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANILLA-SONIDO",
        "first_name": "AGNES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-30",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-8277",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-25424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012475",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.