Individual provider Active NPI

Fernando P Tuvera, M.D.

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1598854093
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-23055 Issued in HI
Practice address
449 Kapahulu Ave Ste 104
Honolulu, HI 96815-3850
Phone
(808) 735-0007
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A51847 CA
Family Medicine Physician 207Q00000X MD-23055 HI Primary

Addresses

Primary practice location

449 Kapahulu Ave Ste 104
Honolulu, HI 96815-3850

Mailing address

449 Kapahulu Ave Ste 104
Honolulu, HI 96815-3850
Phone (808) 735-0007

Other practice location 1

2 Rossi Cir
Salinas, CA 93907-2370
Phone (831) 770-0444

Other identifiers 1

IdentifierTypeStateIssuer
003808MedicaidHI

Other names 1

  • Fernando Penera Tuvera Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091027000477 CA Practitioner - Family Practice 6103963947 Reassigns benefits to 1 organization
I20230301001381 HI Practitioner - Family Practice 6103963947 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51847CAMDFamily Medicine Physician
MD-23055HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Queens University Medical Group CurrentSince Feb 13, 2023 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Oct 16, 2017 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Oct 16, 2017 Accepting new patients

Locations

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

449 Kapahulu Ave
Ste 104
Honolulu, HI 96815
Phone (800) 735-0007

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1598854093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 KAPAHULU AVE STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153850",
            "telephone_number": "808-735-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 KAPAHULU AVE STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153850",
            "telephone_number": "808-735-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Rossi Cir",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939072370",
            "country_code": "US",
            "telephone_number": "831-770-0444",
            "fax_number": "831-770-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUVERA",
        "first_name": "FERNANDO",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51847",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-23055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003808",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FERNANDO",
            "last_name": "TUVERA",
            "middle_name": "PENERA",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.