Individual provider Active NPI

Angela Ogata

  • Driver
  • Hilo, HI
National Provider Identifier
1720409170
Registry record updated Jan 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
000000000 Issued in HI
Practice address
1410 Kinoole St
Hilo, HI 96720-5034
Phone
(808) 935-7091
NPI assigned
Jan 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 000000000 HI Primary

Addresses

Primary practice location

1410 Kinoole St
Hilo, HI 96720-5034

Mailing address

1410 Kinoole St
Hilo, HI 96720-5034
Phone (808) 935-7091

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

LicenseStateTypeSpecialty
000000000HIMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388534400000",
    "number": "1720409170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205034",
            "telephone_number": "808-935-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205034",
            "telephone_number": "808-935-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGATA",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "HI",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; 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.