Organization Active NPI

Joana H Magno MD Facc LLC

  • Cardiovascular Disease Physician
  • Honolulu, HI
National Provider Identifier
1508189929
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD4977 Issued in HI
Legal business name
JOANA H MAGNO MD FACC LLC
Practice address
550 S Beretania St
Suite 201
Honolulu, HI 96813-2496
Phone
(808) 537-1118
Fax
(808) 537-1409
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Joana H Magno, MDNPI 1447266655
Title
Owner
Phone
(808) 537-1118

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD4977 HI Primary

Addresses

Primary practice location

550 S Beretania St
Suite 201
Honolulu, HI 96813-2496

Mailing address

PO Box 25490
Honolulu, HI 96825-0490
Phone (808) 536-0300

Other identifiers 1

IdentifierTypeStateIssuer
025046-05MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100514000184 HI Part B Supplier - Clinic/Group Practice 1355479171 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI; Kaunakakai, HI

National Provider Directory

National Provider Directory

Locations

550 S Beretania St
Ste 201
Honolulu, HI 96813
Phone (408) 768-2017

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": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1508189929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25490",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250490",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132496",
            "telephone_number": "808-537-1118",
            "fax_number": "808-537-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANA H MAGNO MD FACC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "MAGNO",
        "authorized_official_first_name": "JOANA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-537-1118",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD4977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025046-05",
            "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 Mar 12, 2010; 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.