Active NPI
Medical Acadamy of Hawaii and Anatomical Learning Orginization
- Pain Clinic/Center
- San Diego, CA
National Provider Identifier
1346515095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION
- Practice address
- 5286 Eastgate Mall
San Diego, CA 92121-2815 - Phone
- (858) 622-0792
- Fax
- (858) 866-0760
- NPI assigned
- Mar 14, 2012
- Last updated
- Mar 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roy Anthony Brown
- Title
- Ceo
- Phone
- (619) 218-6460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Pain Clinic/Center | 261QP3300X | Primary | ||
| Mobile Radiology Clinic/Center | 261QR0208X |
Addresses
Primary practice location
5286 Eastgate Mall
San Diego, CA 92121-2815
Mailing address
5286 Eastgate Mall
San Diego, CA 92121-2815
Phone (858) 622-0792
Other names 1
- MAHALO
National Provider Directory
National Provider DirectoryLocations
5286 Eastgate Mall
San Diego, CA 92121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Gallatin Gateway, MT
- NPI 1083845507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331683200000",
"number": "1346515095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5286 EASTGATE MALL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212815",
"telephone_number": "858-622-0792",
"fax_number": "858-866-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5286 EASTGATE MALL",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921212815",
"telephone_number": "858-622-0792",
"fax_number": "858-866-0760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ACADAMY OF HAWAII AND ANATOMICAL LEARNING ORGINIZATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-14",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "619-218-6460",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MAHALO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
- Angel Mederos
- Karina Mederos, RBT
- Medfina Medical Supply Inc
- Medi-Art Home Health Care, Inc. (Active Health Services)
- Alexa Medica, MD
- Medical Center Pharmacy
- Medical Equipment Device Specialists
- Medical Oncology Associates of San Diego a Medical Group Inc
- Medical Rehab Supply, Inc
- Medical Support Los Angeles a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.