Benjamin V Gozun III MD Inc
Organization Active NPI Family Medicine Physician · Waipahu, HI
NPI 1851590913 · NPPES record last updated Aug 19, 2025
Key facts
- NPI
- 1851590913
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BENJAMIN V GOZUN III MD INC
- Practice address
- 94-216 Farrington Hwy
Suite B2-101
Waipahu, HI 96797-1922 - Phone
- (808) 678-0091
- Fax
- (808) 677-1372
- NPI assigned
- Jul 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Benjamin Victor Gozun III, M.D.
- Title
- President
- Phone
- (808) 678-0091
Practitioners 2
-
Fortunata Narvaez Gozun, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0934768 | Benjamin V Gozun III MD Inc | Certificate of waiver | Oct 14, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713000779 | HI | Part B Supplier - Clinic/Group Practice | 6103804364 |
Receives reassigned benefits from 2 practitioners Practice locations: Waipahu, HI |
National Provider Directory
Locations
94-216 Farrington Hwy
Ste 318
Waipahu, HI 96797
Phone (808) 678-0091
94-216 Farrington Hwy
Ste B2101
Waipahu, HI 96797
Phone (808) 678-0091
94-216 Farrington Hwy
#B2101
Waipahu, HI 96797
Phone (808) 678-0091
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
94-216 Farrington Hwy
Suite B2-101
Waipahu, HI 96797-1922
Mailing address
94-216 Farrington Hwy
Suite B2-101
Waipahu, HI 96797-1922
Phone (808) 678-0091
Other providers in Waipahu, HI
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- Jessica Benavente
- Benedicto R. Galindo, M.D., Inc.
- Filma Benigno
- Benilda C. Luz-Llena, M.D. Inc.
- Trinitey Benjamin
- Brandy Bennett
- Skylar Bennett
- Benson H Araki,D.D.S.,Inc.
- Fernanda Bermudezgonzales
All providers in Waipahu, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.