Individual provider Active NPI

Pono Victor Aiona, D.C

  • Sports Physician Chiropractor
  • Fremont, CA
National Provider Identifier
1114948023
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
21213 Issued in CA
Practice address
39500 Fremont Blvd
Ste-200
Fremont, CA 94538-2119
Phone
(510) 438-0294
Fax
(510) 438-0468
NPI assigned
Jul 23, 2006
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 21213 CA Primary

Addresses

Primary practice location

39500 Fremont Blvd
Ste-200
Fremont, CA 94538-2119

Mailing address

45 S Park Victoria Dr
#224
Milpitas, CA 95035-5720
Phone (510) 438-0294

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

LicenseStateTypeSpecialty
21213CAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
H&H Aiona Chiropractic, Inc. Past Accepting new patients
Sport Clinic Inc PastSince Sep 25, 2006 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1114948023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S PARK VICTORIA DR",
            "address_2": "#224",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355720",
            "telephone_number": "510-438-0294",
            "fax_number": "510-438-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 FREMONT BLVD",
            "address_2": "STE-200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382119",
            "telephone_number": "510-438-0294",
            "fax_number": "510-438-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIONA",
        "first_name": "PONO",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "21213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.