Organization Active NPI

Pacific Diabetes and Endocrine Center Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Honolulu, HI
National Provider Identifier
1487041307
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
14910 Issued in HI
Legal business name
PACIFIC DIABETES AND ENDOCRINE CENTER INC
Practice address
405 N Kuakini St Ste 601
Honolulu, HI 96817-6302
Phone
(808) 526-0303
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Dr. Alan Parsa, MDNPI 1215268362
Title
Medical Drector
Phone
(808) 526-0303

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 14910 HI Primary

Addresses

Primary practice location

405 N Kuakini St Ste 601
Honolulu, HI 96817-6302

Mailing address

405 N Kuakini St Ste 601
Honolulu, HI 96817-6302
Phone (808) 526-0303

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623002862 HI Part B Supplier - Clinic/Group Practice 3577874155 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2125087Pacific Diabetes and Endocrine Center405 N Kuakini St #601, Honolulu, HI 96817Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

1329 Lusitana St
Ste 807
Honolulu, HI 96813
Phone (808) 525-6590

Practitioners & affiliated clinicians

Practitioners 6

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1487041307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176302",
            "telephone_number": "808-526-0303",
            "fax_number": "808-536-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176302",
            "telephone_number": "808-526-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC DIABETES AND ENDOCRINE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "PARSA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "MEDICAL DRECTOR",
        "authorized_official_telephone_number": "808-526-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "HI",
            "license": "14910",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.