Santo John Dimartino, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

AMD-41 Issued in HI

Practice address

480 Central Ave
Pearl Harbor, HI 96860-4908

Phone

(808) 473-1880

Fax

(808) 473-4411

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1518948975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1088 LAAULU ST",
            "address_2": "A",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064300",
            "telephone_number": "808-683-5464",
            "fax_number": "808-683-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-473-1880",
            "fax_number": "808-473-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARTINO",
        "first_name": "SANTO",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-41",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valery Delira, LPN
• Masami Jeongmi Den Beste, LPN
• Nicole Deren, MD
• Elizabeth Elena Diaz, RN
• James Benjamin Dill
• Stefania Dimofte, M.D.
• Carrie Dee Dina, LPN
• Vinh Dang Doan, D.M.D
• Lori Anne Dreater, FNP
• Lawrence J Duane III, RN

• Medical Physician Assistant in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• Medical Physician Assistant in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.