NPIMap

Organization Active NPI

Charlie Y Sonido M D LLC

Doing business as Primary Care Clinic of Hawaii

  • Internal Medicine Physician
  • Waipahu, HI
National Provider Identifier
1154471126
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CHARLIE Y SONIDO M D LLC
Doing business as
Primary Care Clinic of Hawaii
Practice address
94-837 Waipahu St
Waipahu, HI 96797
Phone
(808) 671-3911
Fax
(808) 677-2720
NPI assigned
Jan 11, 2007
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Connie Seronio
Title
Credentialing
Phone
(808) 690-3830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD4737 HI
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

94-837 Waipahu St
Waipahu, HI 96797

Mailing address

94-837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Other practice location 1

3216 Elua St
Lihue, HI 96766-1213
Phone (808) 246-8300

Other practice location 2

1022 Gulick Ave
Honolulu, HI 96819-4511
Phone (808) 847-4659

Other practice location 3

70 Olona St
Hilo, HI 96720-5017
Phone (808) 731-4949

Other practice location 4

1712 Liliha St Ste 302
Honolulu, HI 96817-3100
Phone (808) 596-1754

Other practice location 5

1807 N King St
Honolulu, HI 96819-3447
Phone (808) 841-4195

Other names 1

  • Primary Care Clinic of Hawaii Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129001073 HI Part B Supplier - Clinic/Group Practice 8224931928 Receives reassigned benefits from 20 practitioners
Practice locations: Honolulu, HI; Waipahu, HI; Wahiawa, HI; Lihue, HI; Hilo, HI

National Provider Directory

National Provider Directory

Locations

1807 N King St
Ste 101
Honolulu, HI 96819
Phone (808) 841-4195

2119 N King St
Honolulu, HI 96819

302 California Ave
Ste 104
Wahiawa, HI 96786
Phone (808) 509-8212

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1154471126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-837 WAIPAHU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973320",
            "telephone_number": "808-671-3911",
            "fax_number": "808-677-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-837 WAIPAHU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-671-3911",
            "fax_number": "808-677-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 Elua St",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661213",
            "country_code": "US",
            "telephone_number": "808-246-8300",
            "fax_number": "808-246-3801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1022 Gulick Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968194511",
            "country_code": "US",
            "telephone_number": "808-847-4659",
            "fax_number": "808-845-9338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Olona St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967205017",
            "country_code": "US",
            "telephone_number": "808-731-4949",
            "fax_number": "808-731-4950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1712 Liliha St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968173100",
            "country_code": "US",
            "telephone_number": "808-596-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1807 N King St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968193447",
            "country_code": "US",
            "telephone_number": "808-841-4195",
            "fax_number": "808-841-0627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLIE Y SONIDO M D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SERONIO",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "808-690-3830"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD4737",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Clinic of Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 12, 2024; 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.