Westgate Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD5016 Issued in HI

Legal business name

WESTGATE MEDICAL CENTER

Practice address

94-370 Pupupani St
Waipahu, HI 96797-2657

Phone

(888) 589-2259

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Lulumafuie Fiatoa, MD

Title

Chief Medical Officer

Phone

(888) 589-2259

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1366795635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-370 PUPUPANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972657",
            "telephone_number": "888-589-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-370 PUPUPANI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972657",
            "telephone_number": "888-589-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "FIATOA",
        "authorized_official_first_name": "LULUMAFUIE",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "888-589-2259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD5016",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD5016",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "HI",
            "license": "14877",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01723602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Oahu Dental Care, Inc.
• West Oahu Orthopedics, Inc
• West Oahu Radiology LLC
• West Oahu Wellness
• Mya West
• Nicholas White
• Miranda Whitt
• Laura Elizabeth-Anne Whyland, RBT
• John Stanley Wichmann-Walczak, M.D.
• Eryn M. Wicklow, PA-C

• Family Medicine Physician in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.