Active NPI
Kaiulani Moku-Paiva
- Audiologist
- Berkeley, CA
National Provider Identifier
1124783543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU3677
- Practice address
- 1035 Grayson St
Berkeley, CA 94710-2642 - Phone
- (510) 848-4800
- NPI assigned
- Nov 1, 2021
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU3677 | CA | Primary |
Addresses
Primary practice location
1035 Grayson St
Berkeley, CA 94710-2642
Mailing address
1035 Grayson St
Berkeley, CA 94710-2642
Phone (510) 848-4800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3677 | CA | MD | Cognitive & Behavioral Psychologist |
| AU3677 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1124783543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 GRAYSON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102642",
"telephone_number": "510-848-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 GRAYSON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102642",
"telephone_number": "510-848-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKU-PAIVA",
"first_name": "KAIULANI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-01",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU3677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.