Uss Pasadena(Ssn752)

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Legal business name

USS PASADENA(SSN752)

Practice address

888 Murray Dr
Honolulu, HI 96818-3721

Phone

(858) 382-1143

NPI assigned

Jun 10, 2010

Last updated

Jun 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Ell Khan

Title

Independent Duty Corpsman

Phone

(858) 382-1143

Specialties & licenses 1

Addresses

Tax ID family

Nmcsd63 organizations share this tax ID, including this one

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1154641371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 MURRAY DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96818",
            "telephone_number": "858-382-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 MURRAY DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183721",
            "telephone_number": "858-382-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USS PASADENA(SSN752)",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ELL",
        "authorized_official_title_or_position": "INDEPENDENT DUTY CORPSMAN",
        "authorized_official_telephone_number": "858-382-1143"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Usrc Kapahulu, LLC
• Digjaya Utama, MD
• Kaori Utashiro
• Azure Laarletta Utley, DDS, MHA
• Sarah Uto-Uko, LCSW
• Amber Uto

• Independent Duty Corpsman in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Independent Duty Corpsman in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.