NPIMap

Organization Active NPI

R & L Nephrology LLC

  • Specialist
  • Wailuku, HI
National Provider Identifier
1265831770
Registry record updated Aug 20, 2014
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
R & L NEPHROLOGY LLC
Practice address
105 Maui Lani Pkwy
Suite 100
Wailuku, HI 96793-2443
Phone
(808) 244-9555
Fax
(808) 244-9577
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Robert Rikkio Demello, MD
Title
Owner
Phone
(310) 292-4284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X HI Primary

Addresses

Primary practice location

105 Maui Lani Pkwy
Suite 100
Wailuku, HI 96793-2443

Mailing address

105 Maui Lani Pkwy
Suite 100
Wailuku, HI 96793-2443
Phone (808) 244-9555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1265831770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAUI LANI PKWY",
            "address_2": "SUITE 100",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932443",
            "telephone_number": "808-244-9555",
            "fax_number": "808-244-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAUI LANI PKWY",
            "address_2": "SUITE 100",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932443",
            "telephone_number": "808-244-9555",
            "fax_number": "808-244-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & L NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "DEMELLO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RIKKIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-292-4284",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.