Petty Basa

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

PETTY BASA

Practice address

94-249 Paiwa St
Waipahu, HI 96797-3481

Phone

(808) 678-8331

Fax

(808) 678-8331

NPI assigned

Jun 5, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Petty Cajalne Basa

Title

NA/Primary Care Giver

Phone

(808) 678-8331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1841603958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-249 PAIWA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973481",
            "telephone_number": "808-678-8331",
            "fax_number": "808-678-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-249 PAIWA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973481",
            "telephone_number": "808-678-8331",
            "fax_number": "808-678-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTY BASA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "BASA",
        "authorized_official_first_name": "PETTY",
        "authorized_official_middle_name": "CAJALNE",
        "authorized_official_title_or_position": "NA/PRIMARY CARE GIVER",
        "authorized_official_telephone_number": "808-678-8331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Perry
• Marie E. Pescador-Chun, M.D.
• Caiden Petersen
• Jordan Petersen
• Pamela A Petras
• Yen Phan
• Jordyn Phillips, RBT
• Kanako Imagawa Phillips
• Lexsis Phillips
• Vincent Phillips

• Foster Care Agency in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Foster Care Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.