Universal Soul Service Inc

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

UNIVERSAL SOUL SERVICE INC

Doing business as

Master Sha Tao Center

Practice address

885 Queen St
Honolulu, HI 96813-5289

Phone

(808) 988-8090

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Sambueno Jr., BBANPI 1225514144

Title

Co-Director

Phone

(808) 551-2246

Specialties & licenses 1

Addresses

Other names 1

• Master Sha Tao Center Doing business as

Locations

Practitioners 1

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.

• Patrick Sambueno Jr.

  • Health Educator
  • Honolulu, HI
  • NPI 1225514144
  Authorized official Same address or phone

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1508342585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 QUEEN ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135289",
            "telephone_number": "808-988-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 QUEEN ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135289",
            "telephone_number": "808-988-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL SOUL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "SAMBUENO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "808-551-2246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Master Sha Tao Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ung
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• University Health Partners Akahai LLC

• Health Educator in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Health Educator in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.