Individual provider Active NPI

Dawn Debra Rumbaoa

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pearl City, HI
National Provider Identifier
1316561301
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Practice address
1109 Acacia Rd Apt 324
Pearl City, HI 96782-2583
Phone
(808) 387-2456
NPI assigned
Jun 4, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1109 Acacia Rd Apt 324
Pearl City, HI 96782-2583

Mailing address

5021 Bloodhound St
Las Vegas, NV 89122-7770
Phone (808) 387-2456

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dawn23@hawaii.edu
Direct Messaging Address dawn23@hawaii.edu

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316561301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 BLOODHOUND ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891227770",
            "telephone_number": "808-387-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 ACACIA RD APT 324",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822583",
            "telephone_number": "808-387-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMBAOA",
        "first_name": "DAWN",
        "middle_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn23@hawaii.edu",
            "affiliation": "Y",
            "address_1": "1710 E West Rd",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968222317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawn23@hawaii.edu",
            "affiliation": "N",
            "address_1": "1109 Acacia Rd Apt 324",
            "city": "Pearl City",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967822583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.