Active NPI
Jun German Jr.
- Foster Care Agency
- Kea'au, HI
National Provider Identifier
1407671902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 2-240071
- Practice address
- 15-1440 18TH Avenue
Kea'Au, HI 96749 - Phone
- (808) 968-9700
- Fax
- (808) 968-2714
- NPI assigned
- Nov 19, 2024
- Last updated
- Nov 19, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 2-240071 | HI | Primary |
Addresses
Primary practice location
15-1440 18TH Avenue
Kea'Au, HI 96749
Mailing address
PO Box 23
Mountain View, HI 96771-0023
Phone (808) 825-0932
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-240071 | HI | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1407671902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "MOUNTAIN VIEW",
"state": "HI",
"postal_code": "967710023",
"telephone_number": "808-825-0932",
"fax_number": "808-968-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15-1440 18TH AVENUE",
"city": "KEA'AU",
"state": "HI",
"postal_code": "96749",
"telephone_number": "808-968-9700",
"fax_number": "808-968-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMAN",
"first_name": "JUN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "HI",
"license": "2-240071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kea'au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.