Organization Active NPI

Vicente S Ramo MD PC Inc

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1639223209
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
10117 Issued in HI
Legal business name
VICENTE S RAMO MD PC INC
Practice address
634 Kalihi St
#201
Honolulu, HI 96819
Phone
(808) 841-7288
Fax
(808) 841-8841
NPI assigned
Jan 22, 2007
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Dr. Vicente S Ramo Jr., M.D.NPI 1770536443
Title
President
Phone
(808) 841-7288

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
Health Service Clinic/Center 261QH0100X 10117 HI Primary

Addresses

Primary practice location

634 Kalihi St
#201
Honolulu, HI 96819

Mailing address

634 Kalihi St
#201
Honolulu, HI 96819-4063
Phone (808) 841-7288

Other identifiers 1

IdentifierTypeStateIssuer
08922001MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040823000649 HI Part B Supplier - Clinic/Group Practice 1951375302 Receives reassigned benefits from 6 practitioners
Practice locations: Honolulu, HI; Waipahu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2066615Vicente S Ramo MD PC Inc634 Kalihi St, First Floor, Honolulu, HI 96819Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory

Locations

634 Kalihi St
Ste 201
Honolulu, HI 96819
Phone (808) 841-7288

94-216 Farrington Hwy
Ste 314
Waipahu, HI 96797
Phone (808) 853-8870

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1639223209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "address_2": "#201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194063",
            "telephone_number": "808-841-7288",
            "fax_number": "808-841-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 KALIHI ST",
            "address_2": "#201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96819",
            "telephone_number": "808-841-7288",
            "fax_number": "808-841-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE S RAMO MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "RAMO",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-841-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "HI",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08922001",
            "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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.