Wilfred Patao Pacpaco, M.D

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD3318 Issued in HI

Practice address

1860 Ala Moana Blvd
Unit # 600
Honolulu, HI 96815-1632

Phone

(808) 944-2722

Fax

(808) 944-2722

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699814764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 ALA MOANA BLVD",
            "address_2": "UNIT # 600",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151632",
            "telephone_number": "808-944-2722",
            "fax_number": "808-944-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 ALA MOANA BLVD",
            "address_2": "UNIT # 600",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151632",
            "telephone_number": "808-944-2722",
            "fax_number": "808-944-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACPACO",
        "first_name": "WILFRED",
        "middle_name": "PATAO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD3318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "J043453",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039621-05",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MD3318",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Wellness, LLC
• Pacific Womens Care LLC
• Grace Curry Packard, M.D.
• Phoebe Packer, MSN, APRN, FNP-C
• Vincent Isaac Paco
• Robin Pacson, APRN, MSN, GNP
• Angelika Mae Padilla
• Gwen Padilla
• Pamela Bonnie- Rotceh Padilla
• Shaira Mae Longboy Padron

• Anesthesiology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Anesthesiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.