Active NPI
Dawn Debra Rumbaoa
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pearl City, HI
National Provider Identifier
1316561301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.