Individual provider Active NPI

Nestor Cortez Herana Jr., M.D.

  • Internal Medicine Physician
  • Waianae, HI
National Provider Identifier
1285862946
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 16444 Issued in HI
Practice address
86-260 Farrington Hwy, Malama Ola Clinic
Waianae Coast Comprehensive Health Center
Waianae, HI 96792
Phone
(808) 697-3490
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MDR-5666 HI
Internal Medicine Physician 207R00000X MD 16444 HI Primary

Addresses

Primary practice location

86-260 Farrington Hwy, Malama Ola Clinic
Waianae Coast Comprehensive Health Center
Waianae, HI 96792

Mailing address

86-260 Farrington Hwy, Malamo Ola Clinic
Waianae Coast Comprehensive Health Center
Waianae, HI 96792
Phone (808) 697-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120926000691 HI Practitioner - Internal Medicine 7315196805 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 16444HIMDInternal Medicine Physician
MDR-5666HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlie Y Sonido M D LLC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Sep 10, 2012 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Internal Medicine CurrentSince Sep 10, 2012 Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

94-837 Waipahu St
Waipahu, HI 96797
Phone (808) 671-3911

Interoperability endpoints

  • Direct secure messaging: nestor.herana.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waianae District Comprehensive Health and Hospital Board Incorporated 162 clinicians
Charlie Y Sonido M D LLC 18 clinicians

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

94 -837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1285862946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY, MALAMO OLA CLINIC",
            "address_2": "WAIANAE COAST COMPREHENSIVE HEALTH CENTER",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "96792",
            "telephone_number": "808-697-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY, MALAMA OLA CLINIC",
            "address_2": "WAIANAE COAST COMPREHENSIVE HEALTH CENTER",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "96792",
            "telephone_number": "808-697-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERANA",
        "first_name": "NESTOR",
        "middle_name": "CORTEZ",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MDR-5666",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD 16444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.