Organization Active NPI

The Wahiawa Center for Community Health

  • Federally Qualified Health Center (FQHC)
  • Wahiawa, HI
National Provider Identifier
1669131397
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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 HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
819592MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lvillanueva@wahiawahealth.org

National Provider Directory

National Provider Directory
Tax ID family
The Wahiawa Center for Community Health4 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.