Jose Adan Ganel, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

10568 Issued in HI

Practice address

98-1079 Moanalua Rd
Suite 620
Aiea, HI 96701-4713

Phone

(808) 486-0429

Fax

(808) 525-7599

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1144372350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MAONO PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968212530",
            "telephone_number": "808-230-0824",
            "fax_number": "808-525-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 620",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-486-0429",
            "fax_number": "808-525-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANEL",
        "first_name": "JOSE",
        "middle_name": "ADAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "10568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25430801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel James J Gallardo
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• Alyssa Gampong
• Yong Yu Gan
• Kianalei Garalde-Machida
• Jaylyn Garces
• Carolina A. Garcia Roco
• Cade Garcia
• Carmen K Garcia, LMT, PTA

• Nephrology Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Nephrology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.