NPIMap

Organization Active NPI

Island Cardiac Centers LLC

  • Cardiac-Interventional Technology Radiologic Technologist
  • Honolulu, HI
National Provider Identifier
1861457376
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac-Interventional Technology Radiologic TechnologistTaxonomy code 2471C1106X
Legal business name
ISLAND CARDIAC CENTERS LLC
Practice address
2230 Liliha St
Honolulu, HI 96817-1646
Phone
(808) 585-0887
Fax
(808) 585-4509
NPI assigned
Apr 18, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Wendell Pang
Title
Director
Phone
(808) 782-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac-Interventional Technology Radiologic Technologist 2471C1106X NU Primary

Addresses

Primary practice location

2230 Liliha St
Honolulu, HI 96817-1646

Mailing address

PO Box 1300
Mail Code 60157
Honolulu, HI 96807-1300
Phone (800) 362-9772

Other identifiers 7

IdentifierTypeStateIssuer
50667801MedicaidHI
0000235648OtherHMSA 65C PLUS
50667801OtherMEDICAID CLASS
Z1629OtherQUEENS MDX
0000235648OtherMEDICAID HMSA QUEST
Z1629OtherHIMDX
0000235648OtherHIHMSA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1861457376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "address_2": "MAIL CODE 60157",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "800-362-9772",
            "fax_number": "425-637-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-585-0887",
            "fax_number": "808-585-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CARDIAC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "808-782-7599"
    },
    "taxonomies": [
        {
            "code": "2471C1106X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Cardiac-Interventional Technology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50667801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C PLUS",
            "identifier": "0000235648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID CLASS",
            "identifier": "50667801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS MDX",
            "identifier": "Z1629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMSA QUEST",
            "identifier": "0000235648",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX",
            "identifier": "Z1629",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000235648",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.

Verify at the official NPI Registry.