Active NPI
Daisy Aquino Ganancial
- Nurse's Aide
- Kapolei, HI
National Provider Identifier
1700948460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- W03188472-01
- Practice address
- 92-366 Waiomea St
Kapolei, HI 96707-1621 - Phone
- (808) 682-2855
- Fax
- (808) 682-2855
- NPI assigned
- Dec 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | W03188472-01 | HI | Primary |
Addresses
Primary practice location
92-366 Waiomea St
Kapolei, HI 96707-1621
Mailing address
92-366 Waiomea St
Kapolei, HI 96707-1621
Phone (808) 682-2855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W03188472-01 | HI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700948460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-366 WAIOMEA ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071621",
"telephone_number": "808-682-2855",
"fax_number": "808-682-2855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92-366 WAIOMEA ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967071621",
"telephone_number": "808-682-2855",
"fax_number": "808-682-2855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANANCIAL",
"first_name": "DAISY",
"middle_name": "AQUINO",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "HI",
"license": "W03188472-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- 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.