Access Medical, Inc. – Customized Equipment (DME)

Key facts

NPI: 1689177438
Entity type: Organization (NPI type 2)
Primary specialty: Customized Equipment (DME) 332BC3200X
License: 813700 (HI)
Legal business name: ACCESS MEDICAL, INC.
Practice address: 238 Sand Island Access Rd Ste R4
Honolulu, HI 96819-2273
Phone: (808) 495-0977
Fax: (866) 533-3030
NPI assigned: Mar 16, 2018
Organization subpart: Yes
Parent organization (as reported): ACCESS MEDICAL, INC.

Authorized official

Name: Blaine Calvin Hunt, ATP/SMS, CRTS
Title: Ceo
Phone: (760) 929-2828

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Access Medical, Inc. Customized Equipment (DME) · Irvine, CA · NPI 1578986220

Same PAC ID 9436351145
Access Medical, Inc. Customized Equipment (DME) · Palm Desert, CA · NPI 1699278440

Same PAC ID 9436351145
Access Medical, Inc. Durable Medical Equipment & Medical Supplies · Carlsbad, CA · NPI 1699845883

Same PAC ID 9436351145

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

Supplier	Supplies	Medicare assignment
Access Medical, Inc. 238 Sand Island Access Rd, Honolulu, HI 96819-2273 · (808) 495-0977	Wheelchairs (Standard Manual)\|Wheelchairs (Standard Manual Related Accessories)\|Wheelchairs (Standard Power)\|Wheelchairs (Standard Power Related Accessories)\|Wheelchairs (Complex Rehabilitative Manual)\|Wheelchairs (Complex Rehab Manual Rel Accessories)\|Wheelchairs (Complex Rehabilitative Power)\|Whe…	Does not accept assignment Participating since Apr 25, 2006

Medicare participation

Medicare fee-for-service enrollment: Enrolled in HI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20220512001367	HI	DME Supplier - Medical Supply Company	9436351145	Practice locations: Honolulu, HI

National Provider Directory

Part of: Access Medical Inc

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Customized Equipment (DME)	332BC3200X	813700	HI	Yes

Addresses

Primary practice location

238 Sand Island Access Rd Ste R4
Honolulu, HI 96819-2273

Mailing address

3266 Grey Hawk CT
Carlsbad, CA 92010-6651
Phone (760) 929-2828

Other identifiers

Identifier	Type	State	Issuer
813700	Medicaid	HI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2023.

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1689177438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 GREY HAWK CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920106651",
            "telephone_number": "760-929-2828",
            "fax_number": "866-533-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 SAND ISLAND ACCESS RD STE R4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192273",
            "telephone_number": "808-495-0977",
            "fax_number": "866-533-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESS MEDICAL, INC.",
        "enumeration_date": "2018-03-16",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-929-2828",
        "authorized_official_credential": "ATP/SMS, CRTS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "HI",
            "license": "813700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813700",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

All providers in Honolulu, HI · Customized Equipment (DME) in Hawaii

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.