Active NPI
Anthony C Hernandez M D Inc
- Clinic/Center
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 5996
- Legal business name
- ANTHONY C HERNANDEZ M D INC
- Practice address
- 1824 Dillingham Blvd
Honolulu, HI 96819-4019 - Phone
- (808) 848-1515
- Fax
- (808) 848-1515
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Cadiente Hernandez, M.D.
- Title
- President
- Phone
- (808) 848-1515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 5996 | HI | Primary |
Addresses
Primary practice location
1824 Dillingham Blvd
Honolulu, HI 96819-4019
Mailing address
1824 Dillingham Blvd
Honolulu, HI 96819-4019
Phone (808) 848-1515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B3303-1 | Other | HI | HMSA PROVIDER NUMBER |
| 029644-01 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1824 Dillingham Blvd
Honolulu, HI 96819
Phone (808) 848-1515
2055 N King St
Ste 200
Honolulu, HI 96819
Phone (808) 848-1515
2005 N King St
RM 200
Honolulu, HI 96819
Phone (808) 848-1515
Practitioners & affiliated clinicians
Practitioners 1
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": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1477682227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 DILLINGHAM BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194019",
"telephone_number": "808-848-1515",
"fax_number": "808-848-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 DILLINGHAM BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194019",
"telephone_number": "808-848-1515",
"fax_number": "808-848-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY C HERNANDEZ M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "CADIENTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-848-1515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "HI",
"license": "5996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "B3303-1",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "029644-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.