Paradise Medical Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PARADISE MEDICAL SERVICES LLC

Practice address

2120 Kaohu St
Wailuku, HI 96793-2205

Phone

(808) 377-4734

Fax

(808) 377-4734

NPI assigned

Dec 19, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica S B Mendonsa, PA-CNPI 1124458930

Title

Provider/LLC Member

Phone

(808) 377-4734

Specialties & licenses 1

Addresses

Other names 1

• Paradise Medical Doing business as

Locations

Practitioners 2

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

• Jessica Sage Blank Mendonsa, PA-C

  • Physician Assistant
  • Wailuku, HI
  • NPI 1124458930
  NPD Authorized official
• David Mendonsa, PA-C

  • General Practice Physician
  • Keaau, HI
  • NPI 1417386475

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1124666201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 KAOHU ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932205",
            "telephone_number": "808-377-4734",
            "fax_number": "808-377-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 KAOHU ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932205",
            "telephone_number": "808-377-4734",
            "fax_number": "808-377-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "MENDONSA",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "S B",
        "authorized_official_title_or_position": "PROVIDER/LLC MEMBER",
        "authorized_official_telephone_number": "808-377-4734",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradise Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Audra Palazzotto-McDonnell
• Jera Pali
• Jameleen Palomique, MS
• Lorrin Pang, M.D.
• Paradise Chiropractic, Inc
• Parents and Children Together
• Karen Paresa Neizman
• Jay D. Parikh, M.D.
• Gregory Park, M.D.
• Andrew William Parlin, M.D.

• General Practice Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• General Practice Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.