Organization Active NPI

Manibusan Services Corporation

  • Gastroenterology Physician
  • Honolulu, HI
National Provider Identifier
1770213233
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
MANIBUSAN SERVICES CORPORATION
Practice address
321 N Kuakini St Ste 714
Honolulu, HI 96817-2362
Phone
(808) 528-3606
Fax
(808) 538-7850
NPI assigned
Jun 16, 2022
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Pedro A Manibusan, MDNPI 1073799722
Title
MD/Owner
Phone
(808) 741-3037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

321 N Kuakini St Ste 714
Honolulu, HI 96817-2362

Mailing address

95-204 Pahaku PL
Mililani, HI 96789-5545
Phone (808) 741-3037

Other practice location 1

1245 Kuala St Ste 102A
Pearl City, HI 96782-3900
Phone (808) 272-1889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107002138 HI Part B Supplier - Clinic/Group Practice 3375910292 Receives reassigned benefits from 1 practitioner
Practice locations: Pearl City, HI

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1245 Kuala St
Ste 102A
Pearl City, HI 96782
Phone (808) 425-2376

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1770213233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-204 PAHAKU PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895545",
            "telephone_number": "808-741-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-528-3606",
            "fax_number": "808-538-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 Kuala St Ste 102A",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "967823900",
            "country_code": "US",
            "telephone_number": "808-272-1889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANIBUSAN SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "MANIBUSAN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "808-741-3037",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "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 Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.