Organization Active NPI

Summer Breeze LLC

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1285184796
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DOS 1195 Issued in HI
Legal business name
SUMMER BREEZE LLC
Doing business as
Beata Summer-Brason
Practice address
4211 Waialae #202
Honolulu, HI 96816-5319
Phone
(808) 220-7017
NPI assigned
Oct 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Beata Summer-Brason, D.O.
Title
Owner
Phone
(808) 220-7017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X DOS 1195 HI Primary

Addresses

Primary practice location

4211 Waialae #202
Honolulu, HI 96816-5319

Mailing address

4211 Waialae Ave #202
Honolulu, HI 96816-5319
Phone (808) 220-7017

Other names 1

  • Beata Summer-Brason Doing business as

National Provider Directory

National Provider Directory

Locations

4211 Waialae Ave
Ste 202
Honolulu, HI 96816
Phone (808) 204-4300

NPI Registry JSON

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1285184796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE AVE #202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165319",
            "telephone_number": "808-220-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 WAIALAE #202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165319",
            "telephone_number": "808-220-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER BREEZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "SUMMER-BRASON",
        "authorized_official_first_name": "BEATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-220-7017",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "DOS 1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beata Summer-Brason",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 7, 2016; 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.