21St Century Healthcare LLC LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

21ST CENTURY HEALTHCARE LLC LLC

Practice address

302 California Ave
Suite 209
Wahiawa, HI 96786-1841

Phone

(808) 622-2655

Fax

(808) 622-5599

NPI assigned

Nov 1, 2009

Last updated

Nov 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Arlene Dorothy Meyers, M.D., J.D., M.P.H.

Title

Member

Phone

(808) 622-2655

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1257033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257033600000",
    "number": "1104152743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE",
            "address_2": "SUITE 209",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-622-2655",
            "fax_number": "808-622-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CALIFORNIA AVE",
            "address_2": "SUITE 209",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861841",
            "telephone_number": "808-622-2655",
            "fax_number": "808-622-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "21ST CENTURY HEALTHCARE LLC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-01",
        "last_updated": "2009-11-01",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-622-2655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., J.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fraidah Pobre Ablao
• Chontille Afong
• Ameyo Florabelle Agnissey
• Maria Magdalena Sosa Aguirre, LMT
• Ahmad Shafi MD (Adult Medicine)

• Pediatric Adolescent Medicine Physician in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Pediatric Adolescent Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2009; 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.