Active NPI
Sandra Magbual
- Speech-Language Pathologist
- Honolulu, HI
National Provider Identifier
1255148995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 475 22ND Ave RM 127
Honolulu, HI 96816-4400 - Phone
- (808) 305-9812
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
475 22ND Ave RM 127
Honolulu, HI 96816-4400
Mailing address
94-1159 Mopua Loop # P6
Waipahu, HI 96797-4187
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
677 Ala Moana Blvd
Suite 1001
Honolulu, HI 96813-5408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Clinical Education & Research Associates | Current | Accepting new patients | |
| University Clinical Education & Research Associates | Current | Accepting new patients |
Locations
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
677 Ala Moana Blvd
Ste 625
Honolulu, HI 96813
Phone (808) 692-1580
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Honolulu, HI
- NPI 1013966845
-
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1659971489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1255148995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-1159 MOPUA LOOP # P6",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967974187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 22ND AVE RM 127",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164400",
"telephone_number": "808-305-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGBUAL",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.