Individual provider Active NPI

Marcelo A Vea

  • Non-emergency Medical Transport (VAN)
  • Waipahu, HI
National Provider Identifier
1306598057
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
GE-164-391-9872-01 Issued in HI
Practice address
94-462 Alapine St
Waipahu, HI 96797-4503
Phone
(808) 382-9065
Fax
(808) 744-9088
NPI assigned
Jan 24, 2022
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X GE-164-391-9872-01 HI Primary

Addresses

Primary practice location

94-462 Alapine St
Waipahu, HI 96797-4503

Mailing address

94-462 Alapine St
Waipahu, HI 96797-4503
Phone (808) 382-9065

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

State licenses

LicenseStateTypeSpecialty
GE-164-391-9872-01HIMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1306598057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-462 ALAPINE ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974503",
            "telephone_number": "808-382-9065",
            "fax_number": "808-744-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-462 ALAPINE ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974503",
            "telephone_number": "808-382-9065",
            "fax_number": "808-744-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEA",
        "first_name": "MARCELO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": "GE-164-391-9872-01",
            "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 Jan 24, 2022; 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.