Individual provider Active NPI

Graham C Clifford, DO

  • Emergency Medicine Physician
  • Honolulu, HI
National Provider Identifier
1730642901
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DOS-2352 Issued in HI
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 691-4311
NPI assigned
Apr 12, 2019
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DOS-2352 HI Primary
Emergency Medicine Physician 207P00000X OS19061 FL
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X UO6718 FL

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

770 Kapiolani Blvd Ste 705
Honolulu, HI 96813-5241
Phone (085) 978-7918

Other identifiers 1

IdentifierTypeStateIssuer
1730642901MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220712001973 FL Practitioner - Emergency Medicine 2365874500 Reassigns benefits to 2 organizations
I20230803000266 HI Practitioner - Emergency Medicine 2365874500 Reassigns benefits to 1 organization
I20241002003726 CA Practitioner - Emergency Medicine 2365874500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Emergency Group, Inc.Group PAC ID 1355244542, 49 clinicians
Tele911 California Emergency Medical Group IncGroup PAC ID 7214339498, 17 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 597-8778

13950 Milton Ave
Suite 400H
Westminster, CA 92683-2939
Phone (888) 777-9055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS19061FLMDEmergency Medicine Physician
DOS-2352HIMDEmergency Medicine Physician
UO6718FLMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emergency Group, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Tele911 Florida Emergency Medical Group, P.a. Emergency Medicine CurrentSince Jun 12, 2024 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2022 Accepting new patients
The Queens Medical Center Past Accepting new patients

Locations

155 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (254) 835-3911

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1730642901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD STE 705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135241",
            "telephone_number": "085-978-7918",
            "fax_number": "808-597-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-691-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "GRAHAM",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "DOS-2352",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS19061",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "UO6718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730642901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.