Organization Active NPI

Perlita Bolosan Lampitoc MD Inc

  • Health Service Clinic/Center
  • Waipahu, HI
National Provider Identifier
1306598065
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PERLITA BOLOSAN LAMPITOC MD INC
Practice address
94-235 Hanawai Cir Ste 8
Waipahu, HI 96797-3029
Phone
(808) 671-8539
Fax
(808) 671-1681
NPI assigned
Jan 24, 2022
Organization subpart
No

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

Authorized official

Name
Dr. Perlita B Mampitoc, MD
Title
President
Phone
(808) 671-8539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

94-235 Hanawai Cir Ste 8
Waipahu, HI 96797-3029

Mailing address

94-235 Hanawai Cir Ste 8
Waipahu, HI 96797-3029
Phone (808) 671-8539

Other identifiers 1

IdentifierTypeStateIssuer
016037MedicaidHI

National Provider Directory

National Provider Directory

Locations

94-235 Hanawai Cir
Ste 8
Waipahu, HI 96797
Phone (808) 671-8539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1306598065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-235 HANAWAI CIR STE 8",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973029",
            "telephone_number": "808-671-8539",
            "fax_number": "808-671-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-235 HANAWAI CIR STE 8",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973029",
            "telephone_number": "808-671-8539",
            "fax_number": "808-671-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLITA BOLOSAN LAMPITOC MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "MAMPITOC",
        "authorized_official_first_name": "PERLITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-671-8539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016037",
            "state": "HI"
        }
    ],
    "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.