Janette M. Brunken, M.D.
Individual provider Active NPI Family Medicine Physician · Kapolei, HI
NPI 1194992073 · NPPES record last updated Jul 9, 2021
Key facts
- NPI
- 1194992073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-17961 (HI)
- Practice address
- 401 Kamokila Blvd
Kapolei, HI 96707 - Phone
- (808) 432-3600
- NPI assigned
- May 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hawaii Permanente Medical Group Inc
Practice addresses (Care Compare)
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000
401 Kamokila Blvd
Kapolei, HI 96707-5607
Phone (808) 432-3600
Hospital & facility affiliations
- Kaiser Foundation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA, HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120104000135 | CA | Practitioner - Family Practice | 7618143249 | Reassigns benefits to 1 organization |
| I20150214000066 | HI | Practitioner - Family Practice | 7618143249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103061 | CA | MD | Family Medicine Physician |
| MD-17961 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Permanente Medical Group Inc | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
3733 San Dimas St
Ste 101
Bakersfield, CA 93301
Phone (800) 353-5400
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
401 Kamokila Blvd
Kapolei, HI 96707
Phone (808) 432-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A103061 | CA | |
| Family Medicine Physician | 207Q00000X | MD-17961 | HI | Yes |
Addresses
Primary practice location
401 Kamokila Blvd
Kapolei, HI 96707
Mailing address
401 Kamokila Blvd
Kapolei, HI 96707
Phone (808) 432-3600
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) | |
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Kapolei, HI
- Amber Te'Are Brinley-Nyza
- Asjah Brown
- Naomi Brown
- Shawn Demetrius Brown
- Casey Bruner
- Samantha Burleson
- Allison L Burley
- Ruby Arlene Bolibol Burnett
- Sydnie Burris-Rodriguez
- Isabella Alexandra Burrows
All providers in Kapolei, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.