Organization Active NPI

Ma. Clarisse Toledo-Santos LLC

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1639551146
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18034 Issued in HI
Legal business name
MA. CLARISSE TOLEDO-SANTOS LLC
Practice address
2226 Liliha St
Suite 306
Honolulu, HI 96817-1600
Phone
(808) 531-5711
NPI assigned
Jun 19, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Ma Clarisse Toledo Santos, M.D.NPI 1770896599
Title
Dr.
Phone
(808) 728-6672

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
Nephrology Physician 207RN0300X 18034 HI Primary

Addresses

Primary practice location

2226 Liliha St
Suite 306
Honolulu, HI 96817-1600

Mailing address

2226 Liliha St
Suite 306
Honolulu, HI 96817-1600
Phone (808) 531-5711

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150904000689 HI Part B Supplier - Clinic/Group Practice 2668788670 Receives reassigned benefits from 1 practitioner
Practice locations: Kapolei, HI; Honolulu, HI; Kailua, HI; Kaneohe, HI; Mililani, HI; Waianae, HI; Waipahu, HI; Aiea, HI…

National Provider Directory

National Provider Directory

Locations

91-919 Fort Weaver Rd
Ste 110
Ewa Beach, HI 96706
Phone (808) 664-8370

1520 Liliha St
Honolulu, HI 96817
Phone (714) 584-9889

4380 Lawehana St
Ste 100
Honolulu, HI 96818
Phone (808) 423-6828

95-1105 Ainamakua Dr
Ste 100
Mililani, HI 96789
Phone (808) 626-6419

Practitioners & affiliated clinicians

Practitioners 1

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": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1639551146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "SUITE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-531-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "SUITE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-531-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA. CLARISSE TOLEDO-SANTOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MA CLARISSE",
        "authorized_official_middle_name": "TOLEDO",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "808-728-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "18034",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 19, 2015; 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.