Active NPI
Erlinda Sanguyo Peralta, RD, CDE
- Renal Nutrition Registered Dietitian
- Waianae, HI
National Provider Identifier
1104921337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 876863
- Practice address
- 86-080 Farrington Hwy
Suite 101
Waianae, HI 96792-3069 - Phone
- (808) 696-0216
- Fax
- (808) 696-0345
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 876863 | HI | Primary |
Addresses
Primary practice location
86-080 Farrington Hwy
Suite 101
Waianae, HI 96792-3069
Mailing address
86-080 Farrington Hwy
Suite 101
Waianae, HI 96792-3069
Phone (808) 696-0216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876863 | HI | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1104921337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86-080 FARRINGTON HWY",
"address_2": "SUITE 101",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923069",
"telephone_number": "808-696-0216",
"fax_number": "808-696-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-080 FARRINGTON HWY",
"address_2": "SUITE 101",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923069",
"telephone_number": "808-696-0216",
"fax_number": "808-696-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "ERLINDA",
"middle_name": "SANGUYO",
"credential": "RD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "HI",
"license": "876863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.