NPIMap

Organization Active NPI

Gettafix LLC

  • Emergency Medicine Physician
  • Waipahu, HI
National Provider Identifier
1134486814
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
GETTAFIX LLC
Practice address
94-673 Kupuohi St
Suite# C201
Waipahu, HI 96797-5367
Phone
(808) 387-8466
Fax
(808) 373-3987
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Pugera Vinoo Ganapathy, M.D.
Title
Manager/Member
Phone
(808) 387-8466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

94-673 Kupuohi St
Suite# C201
Waipahu, HI 96797-5367

Mailing address

590 Puuikena Dr
Honolulu, HI 96821-2507
Phone (808) 387-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120718000469 HI Part B Supplier - Clinic/Group Practice 3577729623 Receives reassigned benefits from 5 practitioners
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1134486814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 PUUIKENA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212507",
            "telephone_number": "808-387-8466",
            "fax_number": "808-373-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-673 KUPUOHI ST",
            "address_2": "SUITE# C201",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975367",
            "telephone_number": "808-387-8466",
            "fax_number": "808-373-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GETTAFIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "GANAPATHY",
        "authorized_official_first_name": "PUGERA",
        "authorized_official_middle_name": "VINOO",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "808-387-8466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.