Alfonso F Jimenez

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ALFONSO F JIMENEZ

Practice address

91-896 Makule Rd
Suite 102
Ewa Beach, HI 96706-2543

Phone

(808) 689-4414

Fax

(808) 689-7115

NPI assigned

Jun 1, 2007

Last updated

Aug 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfonso F Jimenez, D.O.

Title

Owner

Phone

(808) 689-4414

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Macrina U Vicerra-Jaena, APRN

  • Family Nurse Practitioner
  • Ewa Beach, HI
  • NPI 1992758015
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1821290917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-896 MAKULE RD",
            "address_2": "SUITE 102",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062543",
            "telephone_number": "808-689-4414",
            "fax_number": "808-689-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-896 MAKULE RD",
            "address_2": "SUITE 102",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967062543",
            "telephone_number": "808-689-4414",
            "fax_number": "808-689-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFONSO F JIMENEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-689-4414",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "H54601",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "H54603",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "H54602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Titilola Akintola, RBT
• Andrew Scott Alamar, DDS
• Jocelyn Alcaraz
• Garrett R Alcott, MSW
• Alex Matsumoto DMD
• Deborah Alipio
• Keanna W Allar
• Beth A Allison, NP
• Diana Jessica Malicay Almarez
• Aloha ABA

• Clinic/Center in Ewa Beach, HI
• Providers in Ewa Beach, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.