Active NPI
Samuel Resendez
- Counselor
- Pahoa, HI
National Provider Identifier
1487946687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 101Y00000X
- Practice address
- 16-2084 Lehua Dr
Pahoa, HI 96778-7745 - Phone
- (808) 430-6450
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101Y00000X | HI | Primary |
Addresses
Primary practice location
16-2084 Lehua Dr
Pahoa, HI 96778-7745
Mailing address
16-2084 Lehua Dr
Pahoa, HI 96778-7745
Phone (808) 430-6450
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101Y00000X | HI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1487946687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-2084 LEHUA DR",
"city": "PAHOA",
"state": "HI",
"postal_code": "967787745",
"telephone_number": "808-430-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-2084 LEHUA DR",
"city": "PAHOA",
"state": "HI",
"postal_code": "967787745",
"telephone_number": "808-430-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESENDEZ",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "HI",
"license": "101Y00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahoa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.