Active NPI
Cesar Antonio Ventura
- Nurse's Aide
- Kahului, HI
National Provider Identifier
1801956180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HI020410307
- Practice address
- 708 Pona Way
Kahului, HI 96732-1728 - Phone
- (808) 871-0779
- Fax
- (808) 877-3130
- NPI assigned
- Dec 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | HI020410307 | HI | Primary |
Addresses
Primary practice location
708 Pona Way
Kahului, HI 96732-1728
Mailing address
708 Pona Way
Kahului, HI 96732-1728
Phone (808) 871-0779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56009601 | Medicaid | HI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HI020410307 | HI | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1801956180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 PONA WAY",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321728",
"telephone_number": "808-871-0779",
"fax_number": "808-877-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 PONA WAY",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321728",
"telephone_number": "808-871-0779",
"fax_number": "808-877-3130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "CESAR",
"middle_name": "ANTONIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "HI",
"license": "HI020410307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56009601",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.