Individual provider Active NPI

Fernando A Calibuyot Jr.

  • Non-emergency Medical Transport (VAN)
  • Ewa Beach, HI
National Provider Identifier
1861173478
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
91-1001 Keaunui Dr Unit 106
Ewa Beach, HI 96706-6325
Phone
(808) 387-4878
NPI assigned
Jul 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X GE-046-731-4176-01 HI
Non-emergency Medical Transport (VAN) 343900000X HI Primary

Addresses

Primary practice location

91-1001 Keaunui Dr Unit 106
Ewa Beach, HI 96706-6325

Mailing address

91-1001 Keaunui Dr Unit 106
Ewa Beach, HI 96706-6325
Phone (808) 387-4878

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
GE-046-731-4176-01HIMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
RFC Transport, LLC CurrentSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1861173478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1001 KEAUNUI DR UNIT 106",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066325",
            "telephone_number": "808-387-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1001 KEAUNUI DR UNIT 106",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066325",
            "telephone_number": "808-387-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALIBUYOT",
        "first_name": "FERNANDO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": "GE-046-731-4176-01",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.