Claudette Makaleka Pico

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MAT7354 Issued in HI

Practice address

94-670 Lumiauau St # Yy102
Waipahu, HI 96797-5073

Phone

(808) 344-8444

NPI assigned

Dec 23, 2020

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1720675887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-670 LUMIAUAU ST # YY102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975073",
            "telephone_number": "808-344-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-670 LUMIAUAU ST # YY102",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975073",
            "telephone_number": "808-344-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICO",
        "first_name": "CLAUDETTE",
        "middle_name": "MAKALEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MAT7354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY",
            "identifier": "MAT7354",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://mychart.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "94-670 Lumiauau St # Yy102",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967975073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kanako Imagawa Phillips
• Lexsis Phillips
• Vincent Phillips
• Samantha Pialda
• Brandi Michelle Picardal
• Jennie M Pihana
• Noah Pilago
• Pilina Health Resources Inc
• Ma Natalie Joy Pimentel
• Ronaldo Pimentel

• Physical Medicine & Rehabilitation Physician in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Physical Medicine & Rehabilitation Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.