NPIMap

Individual provider Active NPI

Maria Pola Tabladillo

  • Specialist
  • Waipahu, HI
National Provider Identifier
1801351002
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1-120048 Issued in HI
Practice address
94-483 Opeha St
Waipahu, HI 96797-4517
Phone
(808) 379-2133
Fax
(808) 312-1750
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1-120048 HI Primary

Addresses

Primary practice location

94-483 Opeha St
Waipahu, HI 96797-4517

Mailing address

94-483 Opeha St
Waipahu, HI 96797-4517
Phone (808) 379-2133

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

LicenseStateTypeSpecialty
1-120048HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Loving Care Health Provider, Inc. Current Accepting new patients
Loving Care Health Provider, Inc. Current Accepting new patients

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1801351002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-483 OPEHA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974517",
            "telephone_number": "808-379-2133",
            "fax_number": "808-312-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-483 OPEHA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974517",
            "telephone_number": "808-379-2133",
            "fax_number": "808-312-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLADILLO",
        "first_name": "MARIA",
        "middle_name": "POLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "1-120048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.