Active NPI
The Wahiawa Center for Community Health
- Federally Qualified Health Center (FQHC)
- Wahiawa, HI
National Provider Identifier
1669131397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- THE WAHIAWA CENTER FOR COMMUNITY HEALTH
- Practice address
- 302 California Ave Ste 106a
Wahiawa, HI 96786-1841 - Phone
- (808) 622-1618
- NPI assigned
- Dec 9, 2021
- Organization subpart
- Yes
- Parent organization
- THE WAHIAWA CENTER FOR COMMUNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Estranero Talana, CMRS
- Title
- Billing Manager
- Phone
- (808) 622-1618
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
302 California Ave Ste 106a
Wahiawa, HI 96786-1841
Mailing address
302 California Ave Ste 106a
Wahiawa, HI 96786-1841
Phone (808) 622-1618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 819592 | Medicaid | HI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lvillanueva@wahiawahealth.org |
National Provider Directory
National Provider Directory- Tax ID family
- The Wahiawa Center for Community Health
- Part of
- The Wahiawa Center for Community Health
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Federally Qualified Health Center (FQHC)
- Wahiawa, HI
- NPI 1366025348
-
- General Practice Dentistry
- Wahiawa, HI
- NPI 1417878091
-
- Federally Qualified Health Center (FQHC)
- Wahiawa, HI
- NPI 1992176283
Locations
302 California Ave
Ste 106A
Wahiawa, HI 96786
Phone (808) 622-1618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1669131397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 CALIFORNIA AVE STE 106A",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967861841",
"telephone_number": "808-622-1618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CALIFORNIA AVE STE 106A",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967861841",
"telephone_number": "808-622-1618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WAHIAWA CENTER FOR COMMUNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE WAHIAWA CENTER FOR COMMUNITY HEALTH",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "TALANA",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ESTRANERO",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "808-622-1618",
"authorized_official_credential": "CMRS"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "819592",
"state": "HI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lvillanueva@wahiawahealth.org",
"affiliation": "N",
"address_1": "302 California Ave Ste 106A",
"city": "Wahiawa",
"state": "HI",
"country_code": "US",
"postal_code": "967861841",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wahiawa, HI
- The Communication Station, LLC
- The Queen'S Medical Center
- The Queens Medical Center
- The Wahiawa Center for Community Health
- The Wahiawa Center for Community Health
- The Wahiawa Center for Community Health
- Therapeutic Massage and Spa by 'D' Heart LLC
- Melissa Denise Theriaque
- Sydney Thompson, DPT
- Tia Wang LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.