Organization Active NPI

Clayton Y Gushiken, OD, Fcovd, Inc.

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1780860544
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OD-179 Issued in HI
Legal business name
CLAYTON Y GUSHIKEN, OD, FCOVD, INC.
Practice address
2353 S Beretania St
Suite 101
Honolulu, HI 96826-1400
Phone
(808) 941-3811
Fax
(808) 951-4063
NPI assigned
Jan 11, 2008
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Clayton Y. Gushiken, O.D.NPI 1750307088
Title
President
Phone
(808) 941-3811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OD-179 HI Primary

Addresses

Primary practice location

2353 S Beretania St
Suite 101
Honolulu, HI 96826-1400

Mailing address

2353 S Beretania St
Suite 101
Honolulu, HI 96826-1400
Phone (808) 941-3811

National Provider Directory

National Provider Directory

Locations

2353 S Beretania St
Rm 101
Honolulu, HI 96826
Phone (808) 941-3811

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": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1780860544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 S BERETANIA ST",
            "address_2": "SUITE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261400",
            "telephone_number": "808-941-3811",
            "fax_number": "808-951-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 S BERETANIA ST",
            "address_2": "SUITE 101",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261400",
            "telephone_number": "808-941-3811",
            "fax_number": "808-951-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYTON Y GUSHIKEN, OD, FCOVD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "GUSHIKEN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-941-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "OD-179",
            "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 Jan 11, 2008; 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.