Blane K. Chong, MD Sports Medicine and Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLANE K. CHONG, MD SPORTS MEDICINE AND FAMILY PRACTICE LLC

Practice address

3221 Waialae Ave Ste 390
Honolulu, HI 96816-5850

Phone

(808) 732-9710

Fax

(808) 732-9720

NPI assigned

Aug 20, 2020

Organization subpart

No

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

Authorized official

Name

Jasmine Kauka

Title

Office Manager

Phone

(808) 732-9710

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12727/brand/1/csg/21/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Blane Kalani Chong, M. D.

  • Sports Medicine (Family Medicine) Physician
  • Honolulu, HI
  • NPI 1669584967
  Medicare reassignment NPD
• Carrie R Baker, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winchester, VA
  • NPI 1982000766
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1700498680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 390",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165850",
            "telephone_number": "808-732-9710",
            "fax_number": "808-732-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE STE 390",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165850",
            "telephone_number": "808-732-9710",
            "fax_number": "808-732-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANE K. CHONG, MD SPORTS MEDICINE AND FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "KAUKA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-732-9710"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Schulte Blanchard
• Jordyn Keanuhea Blanchard
• Maria Blanchard, NP
• Patricia Blanchette, M.D.
• Austin Blanchon, DC
• Morgan Blank
• Bruce Blanton Jr.
• Jesse Blanton, PA-C
• Matthew Blasquez
• Blessin Health LLC (Blessin Health)

• Primary Care Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.