David G Seriguchi, MD Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

5286 Issued in HI

Legal business name

DAVID G SERIGUCHI, MD INC

Practice address

1931 E Vineyard St
Suite 102
Wailuku, HI 96793-1700

Phone

(808) 242-5544

Fax

(808) 242-0068

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David G Seriguchi, M.D.

Title

President

Phone

(808) 242-5544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Ryan Fusato, M.D.

  • Internal Medicine Physician
  • Kahului, HI
  • NPI 1578580296
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1457548596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 E VINEYARD ST",
            "address_2": "SUITE 102",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931700",
            "telephone_number": "808-242-5544",
            "fax_number": "808-242-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 E VINEYARD ST",
            "address_2": "SUITE 102",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931700",
            "telephone_number": "808-242-5544",
            "fax_number": "808-242-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G SERIGUCHI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SERIGUCHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-242-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "HI",
            "license": "5286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01941401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy A. Dalmon, M.D.
• J. Mickey Damerell, D.D.S., M.S.
• Daniel Brandes, MD Inc.
• Carlos Dantes
• Darren K Egami MD, LLC
• David M Nelson MD Inc
• David S Crow MD PHD LLC
• Jessica Davis
• Mathias Davis, SLP
• Zachary Michael Davis, DPT

• Community Health Clinic/Center in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Community Health Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.