Active NPI
Arthur Burgos Domingo, PA-C
- Physician Assistant
- Honolulu, HI
National Provider Identifier
1154835353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AMD-793
- Practice address
- 445 Seaside Ave
Honolulu, HI 96815-2640 - Phone
- (808) 426-8547
- NPI assigned
- Nov 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AMD-793 | HI | Primary |
Addresses
Primary practice location
445 Seaside Ave
Honolulu, HI 96815-2640
Mailing address
445 Seaside Ave
Honolulu, HI 96815-2640
Phone (808) 426-8547
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1154835353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 SEASIDE AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968152640",
"telephone_number": "808-426-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 SEASIDE AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968152640",
"telephone_number": "808-426-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO",
"first_name": "ARTHUR",
"middle_name": "BURGOS",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "HI",
"license": "AMD-793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.