Individual provider Active NPI

David G Seriguchi, MD

  • Internal Medicine Physician
  • Wailuku, HI
National Provider Identifier
1477639052
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5286 Issued in HI
Practice address
1931 E Vineyard St
Suite 102
Wailuku, HI 96793-1700
Phone
(808) 242-5544
Fax
(808) 242-0098
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5286 HI Primary

Addresses

Primary practice location

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

Mailing address

1931 E Vineyard St
Suite 102
Wailuku, HI 96793-1700
Phone (808) 242-5544

Other identifiers 1

IdentifierTypeStateIssuer
01941401MedicaidHI

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5286HIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: david.seriguchi@hawaiihie.medicity.net

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1477639052",
    "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": "808-242-0098"
        },
        {
            "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": "808-242-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIGUCHI",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "5286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01941401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.