Individual provider Active NPI

Albert L Bolosan, PARAPROFESSIONAL

  • Community/Behavioral Health Agency
  • Waipahu, HI
National Provider Identifier
1306288253
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
94-269 Kahuapili St
Waipahu, HI 96797-3521
Phone
(808) 341-8087
NPI assigned
Jul 19, 2013
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

94-269 Kahuapili St
Waipahu, HI 96797-3521

Mailing address

94-269 Kahuapili St
Waipahu, HI 96797-3521
Phone (808) 341-8087

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1306288253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-269 KAHUAPILI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973521",
            "telephone_number": "808-341-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-269 KAHUAPILI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973521",
            "telephone_number": "808-341-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOSAN",
        "first_name": "ALBERT",
        "middle_name": "L",
        "credential": "PARAPROFESSIONAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.