Active NPI
Graham C Clifford, DO
- Emergency Medicine Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DOS-2352
- Practice address
- 1301 Punchbowl St
Honolulu, HI 96813-2402 - Phone
- (808) 691-4311
- NPI assigned
- Apr 12, 2019
- Last updated
- Jul 11, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730642901 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS19061 | FL | MD | Emergency Medicine Physician |
| DOS-2352 | HI | MD | Emergency Medicine Physician |
| UO6718 | FL | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emergency Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Tele911 Florida Emergency Medical Group, P.a. | Emergency Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Family Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Current | 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.
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1013943414
-
- Emergency Medical Services (Emergency Medicine) Physician
- Pasadena, CA
- NPI 1720670268
-
dba UF Health Physicians
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Family Medicine
-
- Emergency Medicine Physician
- Orlando, FL
- NPI 1063174647
-
dba UF Health Family Medicine Ocala Heath Brook
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
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
- Terrance Hiroji Cleveland, D.D.S.
- Jordan Clevy, PT
- Ashlyn Marie Cleys
- Patricia Denise Click, BCBA
- Clifford K. H. Lau, M.D., Inc.
- Anne-Marie Cline, LCSW
- Samantha Cline, LPN
- Clinical & Counseling Psychology
- Clinical Diagnostic Partners, LLC (Clinical Diagnostic Center)
- Clinical Neuropsychology Specialists, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.