Active NPI
John M. Sandor, MD
- Family Medicine Physician
- Kaneohe, HI
National Provider Identifier
1255432167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-9892
- Practice address
- BLDG. 3089 Ave. D
Marine Corps Base Hawaii
Kaneohe, HI 96863 - Phone
- (808) 257-3365
- Fax
- (808) 257-5653
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-9892 | HI | Primary |
| Occupational Medicine Physician | 2083X0100X | MD-9892 | HI |
Addresses
Primary practice location
BLDG. 3089 Ave. D
Marine Corps Base Hawaii
Kaneohe, HI 96863
Mailing address
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone (808) 257-3365
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000211847 | Other | HI | HMSA BILLING NUMBER |
| 086888-02 | Medicaid | HI |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1255432167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 CENTRAL AVE",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "968604908",
"telephone_number": "808-257-3365",
"fax_number": "808-257-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG. 3089 AVE. D",
"address_2": "MARINE CORPS BASE HAWAII",
"city": "KANEOHE",
"state": "HI",
"postal_code": "96863",
"telephone_number": "808-257-3365",
"fax_number": "808-257-5653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOR",
"first_name": "JOHN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-9892",
"primary": true
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "HI",
"license": "MD-9892",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000211847",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086888-02",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.