Individual provider Active NPI

Arcelita C Imasa, MD

  • Family Medicine Physician
  • Mililani, HI
National Provider Identifier
1568021541
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDR-7686 Issued in HI
Practice address
95-390 Kuahelani Ave # J1
Mililani, HI 96789-1192
Phone
(808) 627-3254
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MDR-7686 HI Primary

Addresses

Primary practice location

95-390 Kuahelani Ave # J1
Mililani, HI 96789-1192

Mailing address

Elizabeth Welch-Family Medicine Residency Program
The Physician Center, 95-390 Kuahelani Avenue
Mililani, HI 96789-4807
Phone (808) 627-3254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831002494 HI Practitioner - Family Practice 3870977408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charlie Y Sonido M D LLCGroup PAC ID 8224931928, 18 clinicians

Practice addresses (Care Compare)

1022 Gulick Ave
Honolulu, HI 96819-4511
Phone (808) 847-4659

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDR-7686HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio D Ramos MD Inc CurrentSince Sep 13, 2023 Accepting new patients
Charlie Y Sonido M D LLC CurrentSince Sep 13, 2023 Accepting new patients
Lanai Community Health Center PastSince Mar 28, 2021 Accepting new patients

Locations

1022 Gulick Ave
Honolulu, HI 96819
Phone (808) 847-4659

94-837 Waipahu St
Waipahu, HI 96797
Phone (808) 671-3911

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1568021541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ELIZABETH WELCH-FAMILY MEDICINE RESIDENCY PROGRAM",
            "address_2": "THE PHYSICIAN CENTER, 95-390 KUAHELANI AVENUE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967894807",
            "telephone_number": "808-627-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE # J1",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-627-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMASA",
        "first_name": "ARCELITA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-7686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.