Active NPI
Victor M Laforteza Jr.
- Adult Care Home Facility
- Aiea, HI
National Provider Identifier
1205596012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 1647-C
- Practice address
- 98-550 Kaamilo St
Aiea, HI 96701-4435 - Phone
- (808) 232-6066
- NPI assigned
- Dec 20, 2021
- 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 |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 1647-C | HI | Primary |
Addresses
Primary practice location
98-550 Kaamilo St
Aiea, HI 96701-4435
Mailing address
98-550 Kaamilo St
Aiea, HI 96701-4435
Phone (808) 232-6066
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1647-C | HI | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1205596012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-550 KAAMILO ST",
"city": "AIEA",
"state": "HI",
"postal_code": "967014435",
"telephone_number": "808-232-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-550 KAAMILO ST",
"city": "AIEA",
"state": "HI",
"postal_code": "967014435",
"telephone_number": "808-232-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFORTEZA",
"first_name": "VICTOR",
"middle_name": "M",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-20",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "HI",
"license": "1647-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.