NPIMap

Organization Active NPI

Vigilance Group,LLC

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1740412600
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M 8523 Issued in HI
Legal business name
VIGILANCE GROUP,LLC
Practice address
1874 Laukahi St
Honolulu, HI 96821-1361
Phone
(808) 295-9100
Fax
(808) 440-5605
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Authorized official

Name
Dr. Lisa Lee Camerino, M.D.
Title
Sole Proprietor
Phone
(808) 295-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X M 8523 HI Primary

Addresses

Primary practice location

1874 Laukahi St
Honolulu, HI 96821-1361

Mailing address

1874 Laukahi St
Honolulu, HI 96821-1361
Phone (808) 295-9100

Other identifiers 1

IdentifierTypeStateIssuer
581563MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426204800000",
    "number": "1740412600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 LAUKAHI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211361",
            "telephone_number": "808-295-9100",
            "fax_number": "808-440-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 LAUKAHI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211361",
            "telephone_number": "808-295-9100",
            "fax_number": "808-440-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIGILANCE GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2015-03-13",
        "status": "A",
        "authorized_official_last_name": "CAMERINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "808-295-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "M 8523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581563",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.