Individual provider Active NPI

Malvin Vien, MD

  • Addiction Medicine (Family Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1356916118
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
MD-24288 Issued in HI
Practice address
1130 N Nimitz Hwy RM C302
Honolulu, HI 96817-6501
Phone
(808) 538-0704
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction Medicine (Family Medicine) Physician 207QA0401X MD-24288 HI Primary

Addresses

Primary practice location

1130 N Nimitz Hwy RM C302
Honolulu, HI 96817-6501

Mailing address

1634 Makiki St Apt 606
Honolulu, HI 96822-4440
Phone (917) 376-7609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829000859 HI Practitioner - Addiction Medicine 3779973102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
University of Colorado School of Medicine, Aurora, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ku Aloha Ola MauGroup PAC ID 2961673868, 3 clinicians

Practice addresses (Care Compare)

1130 N Nimitz Hwy
RM C302
Honolulu, HI 96817-6501
Phone (808) 538-0704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ku Aloha Ola Mau CurrentSince Jul 15, 2025 Accepting new patients

Locations

1130 N Nimitz Hwy
Rm C302
Honolulu, HI 96817
Phone (808) 538-0704

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1356916118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 MAKIKI ST APT 606",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968224440",
            "telephone_number": "917-376-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 N NIMITZ HWY RM C302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176501",
            "telephone_number": "808-538-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEN",
        "first_name": "MALVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "HI",
            "license": "MD-24288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.