NPIMap

Organization Active NPI

Sleep Center Hawaii LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Kailua Kona, HI
National Provider Identifier
1487267811
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
SLEEP CENTER HAWAII LLC
Practice address
75-167 Kalani St
Kailua Kona, HI 96740-1800
Phone
(808) 327-6669
Fax
(808) 327-4506
NPI assigned
Aug 25, 2020
Last updated
Aug 25, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SLEEP CENTER HAWAII LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2020

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

Authorized official

Name
Divina Mesa
Title
General Manager
Phone
(808) 456-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X Primary

Addresses

Primary practice location

75-167 Kalani St
Kailua Kona, HI 96740-1800

Mailing address

75-167 Kalani St
Kailua Kona, HI 96740-1800
Phone (808) 327-6669

National Provider Directory

National Provider Directory
Tax ID family
Sleep Center Hawaii LLC2 organizations share this tax ID, including this one
Part of
Sleep Center Hawaii LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

75-167 Kalani St
Kailua Kona, HI 96740
Phone (808) 327-6669

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1487267811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-167 KALANI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401800",
            "telephone_number": "808-327-6669",
            "fax_number": "808-327-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-167 KALANI ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401800",
            "telephone_number": "808-327-6669",
            "fax_number": "808-327-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP CENTER HAWAII LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SLEEP CENTER HAWAII LLC",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "808-456-7378"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.