Organization Active NPI

Alii Bariatric Center

  • General Practice Physician
  • Kailua Kona, HI
National Provider Identifier
1386050169
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
8532 Issued in HI
Legal business name
ALII BARIATRIC CENTER
Practice address
75-5995 Kuakini Hwy
Suite 427
Kailua Kona, HI 96740-2144
Phone
(808) 329-3588
Fax
(808) 329-3233
NPI assigned
Jul 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Dr. Dominador Genio Jr., M.D., F.A.A.F.P.NPI 1386754257
Title
Owner
Phone
(808) 329-3588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 8532 HI Primary

Addresses

Primary practice location

75-5995 Kuakini Hwy
Suite 427
Kailua Kona, HI 96740-2144

Mailing address

75-5995 Kuakini Hwy
Suite 427
Kailua Kona, HI 96740-2144
Phone (808) 329-3588

Other identifiers 1

IdentifierTypeStateIssuer
1386754257OtherHIINDIVIDUAL NPI

Other names 1

  • Dr. Dominador Genio, Jr. Doing business as

National Provider Directory

National Provider Directory

Locations

75-5995 Kuakini Hwy
Ste 427
Kailua Kona, HI 96740
Phone (808) 329-3588

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8294/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1386050169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY",
            "address_2": "SUITE 427",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402144",
            "telephone_number": "808-329-3588",
            "fax_number": "808-329-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY",
            "address_2": "SUITE 427",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402144",
            "telephone_number": "808-329-3588",
            "fax_number": "808-329-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALII BARIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "GENIO",
        "authorized_official_first_name": "DOMINADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-329-3588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., F.A.A.F.P."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "HI",
            "license": "8532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386754257",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Dominador Genio, Jr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.