Urgent Care Maui Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD-7153 Issued in HI

Legal business name

URGENT CARE MAUI INC.

Practice address

1325 S. Kihei Rd.
Suite # 103
Kihei, HI 96753

Phone

(808) 879-7781

Fax

(808) 879-0594

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Homayon M Tavakoli, M.D.NPI 1003037052

Title

President

Phone

(808) 879-7781

Specialties & licenses 1

Addresses

Other names 1

• urgent care maui Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Homayon M. Tavakoli, M.D.

  • General Practice Physician
  • Kihei, HI
  • NPI 1003037052

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124249230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S. KIHEI RD.",
            "address_2": "SUITE # 103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-879-7781",
            "fax_number": "808-879-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S. KIHEI RD.",
            "address_2": "SUITE # 103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "96753",
            "telephone_number": "808-879-7781",
            "fax_number": "808-879-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MAUI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLI",
        "authorized_official_first_name": "HOMAYON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-879-7781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-7153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "urgent care maui",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Frashure Tresidder, LCSW
• Edgar Tuna, MS, LAT, ATC
• Lauren K Twombly
• Emily Ulm, RN
• Talyah Unger, PSY.D
• Alicia Van, O.D.
• Abbie Vance
• Venture Physical Therapy LLC
• Venture Physical Therapy LLC
• Venture Physical Therapy LLC

• All providers in Kihei, HI
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.