Active NPI
Agnela Teresa Isaias, MD
- Pediatrics Physician
- Aiea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-23703
- Practice address
- 99-128 Aiea Heights Dr Ste 211
Aiea, HI 96701-3972 - Phone
- (808) 488-8441
- NPI assigned
- Oct 5, 2005
- Last updated
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-23703 | HI | Primary |
| Pediatrics Physician | 208000000X | 82912 | CA |
Addresses
Primary practice location
99-128 Aiea Heights Dr Ste 211
Aiea, HI 96701-3972
Mailing address
3779 Kumulani PL
Honolulu, HI 96822-1113
Phone (858) 472-9950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82912 | CA | MD | Pharmacist |
| MD-23703 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Agnela Isaias LLC | Pediatrics | Current | Accepting new patients |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
280 E St
Chula Vista, CA 91910
Phone (619) 425-3951
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
Santa Maria, CA 93455
Phone (805) 934-5400
99-128 Aiea Heights Dr
Ste 211
Aiea, HI 96701
Phone (808) 488-8441
Organizations & group practices 8
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.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Pediatrics Physician
- Aiea, HI
- NPI 1730944083
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health King-Chavez Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1538262092
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
dba Community Health Centers Cambria
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1790772572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3779 KUMULANI PL",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221113",
"telephone_number": "858-472-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99-128 AIEA HEIGHTS DR STE 211",
"city": "AIEA",
"state": "HI",
"postal_code": "967013972",
"telephone_number": "808-488-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAIAS",
"first_name": "AGNELA",
"middle_name": "TERESA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-23703",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "82912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
- Integrated Renal Care of the Pacific, LLC (FMC Dialysis Services of Pearlridge)
- Integrated Renal Care of the Pacific, LLC (FMC Dialysis SErvices of Pearlrigde)
- Integrative Global Medicine, LLC
- Integrative Therapeutics, LLC
- International Life Support Inc (American Medical Response (AMR))
- Anita G Ishaq-Juarez, PA-C
- Matthew B K Ishii, PT, DPT
- Island Dental Group Inc
- Island Eye Center Inc
- Island Nerve Institute LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.