Individual provider Active NPI

Raymond Castillo Salazar, M.D.

  • Pediatrics Physician
  • Waianae, HI
National Provider Identifier
1801065800
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-14817 Issued in HI
Practice address
86-260 Farrington Hwy
Waianae, HI 96792
Phone
(808) 696-7081
NPI assigned
Feb 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A100319 CA
Pediatrics Physician 208000000X MD-14817 HI Primary

Addresses

Primary practice location

86-260 Farrington Hwy
Waianae, HI 96792

Mailing address

94-1280 Kahuanui St
Waipahu, HI 96797-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081014000767 HI Practitioner - Pediatric Medicine 0749348035 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A100319CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince May 5, 2010 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Pediatrics CurrentSince May 5, 2010 Accepting new patients

Locations

599 Farrington Hwy
Bldg 1
Kapolei, HI 96707

599 Farrington Hwy
Ste 100
Kapolei, HI 96707
Phone (808) 674-2930

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

94-428 Mokuola St
Ste 108B
Waipahu, HI 96797
Phone (808) 697-3888

Interoperability endpoints

  • Direct secure messaging: raymond.salazar.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1801065800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1280 KAHUANUI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "96792",
            "telephone_number": "808-696-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "RAYMOND",
        "middle_name": "CASTILLO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A100319",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-14817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.