Active NPI
Mauricio A Barrientos
- Social Worker
- Honolulu, HI
National Provider Identifier
1740916576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LSW-1879
- Practice address
- Spark M Matsugana Medical Center
459 Patterson Road 122-MB
Honolulu, HI 96819-1522 - Phone
- (808) 433-3580
- NPI assigned
- Jul 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW-1879 | HI | Primary |
Addresses
Primary practice location
Spark M Matsugana Medical Center
459 Patterson Road 122-MB
Honolulu, HI 96819-1522
Mailing address
Spark M Matsugana Medical Center
459 Patterson Road 122-MB
Honolulu, HI 96819-1522
Phone (808) 433-3580
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
| License | State | Type | Specialty |
|---|---|---|---|
| LSW-1879 | HI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1740916576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SPARK M MATSUGANA MEDICAL CENTER",
"address_2": "459 PATTERSON ROAD 122-MB",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-433-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPARK M MATSUGANA MEDICAL CENTER",
"address_2": "459 PATTERSON ROAD 122-MB",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-433-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRIENTOS",
"first_name": "MAURICIO",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-25",
"last_updated": "2022-07-25",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "LSW-1879",
"primary": true
}
],
"identifiers": [],
"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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.