Kealani Kanehe Sine, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A61936 Issued in CA

Practice address

216 E Pine St
Exeter, CA 93221-1750

Phone

(559) 592-2600

Fax

(559) 592-2610

NPI assigned

Apr 12, 2007

Last updated

Dec 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Kealani Kanehe Holloway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kealani Sine MD Inc

  dba Pine Street Pediatrics

  • Pediatrics Physician
  • Exeter, CA
  • NPI 1780975904
  Authorized official Same address or phone

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1194949354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 HIGH SIERRA DR",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "93221",
            "telephone_number": "559-302-7456",
            "fax_number": "559-592-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PINE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211750",
            "telephone_number": "559-592-2600",
            "fax_number": "559-592-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINE",
        "first_name": "KEALANI",
        "middle_name": "KANEHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A61936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A61936",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEALANI",
            "last_name": "HOLLOWAY",
            "middle_name": "KANEHE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sequoia Youth Services
• Veronica Serrano Valencia, ASW
• Shyam Bhaskar, MD Inc (Shyam Bhaskar)
• Maria Ximena Simonuvic, MD
• David Alan Sine, MD
• Ryan Lee Smith, FNP
• Brittani Snyder, FNP
• Joseph Sosa, AS
• Pamela E Soto Gonzalez, LPCC
• Ana Lilia Soto Grant, LCSW

• Pediatrics Physician in Exeter, CA
• Providers in Exeter, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.