Organization Active NPI

Anthony C Hernandez M D Inc

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1477682227
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5996 Issued in HI
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

Updated by the provider on Oct 17, 2008

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.NPI 1962578476
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
B3303-1OtherHIHMSA PROVIDER NUMBER
029644-01MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000029 HI Part B Supplier - Clinic/Group Practice 4082717590 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.