NPIMap

Organization Active NPI

Manakai O Malama Integrative

  • Legal Medicine
  • Honolulu, HI
National Provider Identifier
1578699799
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
MANAKAI O MALAMA INTEGRATIVE
Practice address
Manakai O Malama Integrative
677 Ala Moana Blvd, #950
Honolulu, HI 96813
Phone
(808) 535-5555
Fax
(808) 535-5556
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Ira D Zunin, MDNPI 1952437279
Title
President
Phone
(808) 535-5555

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
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

Manakai O Malama Integrative
677 Ala Moana Blvd, #950
Honolulu, HI 96813

Mailing address

Manakai O Malama Integrative
677 Ala Moana Blvd, #950
Honolulu, HI 96813
Phone (808) 535-5555

Other identifiers 1

IdentifierTypeStateIssuer
9525570MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000162 HI Part B Supplier - Clinic/Group Practice 4880582808 Receives reassigned benefits from 10 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

932 Ward Ave
Ste 600
Honolulu, HI 96814
Phone (808) 535-5555

932 Ward Ave
Fl 6
Honolulu, HI 96814
Phone (808) 535-5555

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1578699799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANAKAI O MALAMA INTEGRATIVE",
            "address_2": "677 ALA MOANA BLVD, #950",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-535-5555",
            "fax_number": "808-535-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANAKAI O MALAMA INTEGRATIVE",
            "address_2": "677 ALA MOANA BLVD, #950",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-535-5555",
            "fax_number": "808-535-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAKAI O MALAMA INTEGRATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "ZUNIN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-535-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9525570",
            "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 Sep 20, 2023; 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.