Individual provider Active NPI

Nicasio Paguio Gatdula, VICE PRESIDENT

  • Home Health Aide
  • Hilo, HI
National Provider Identifier
1881361533
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
64 Keawe St Ste 306
Hilo, HI 96720-2486
Phone
(808) 215-7820
Fax
(808) 215-7819
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X
Homemaker 376J00000X
Nurse's Aide 376K00000X
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

64 Keawe St Ste 306
Hilo, HI 96720-2486

Mailing address

PO Box 10119
Hilo, HI 96721-5119
Phone (808) 215-7820

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL HILO Health Information Exchange (HIE)
CONNECT URL HILO Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marianas Pacific Inc. CurrentSince Jun 23, 2024 Accepting new patients
Marianas Pacific Inc. CurrentSince Dec 3, 2023 Accepting new patients

Locations

64 Keawe St
Ste 306
Hilo, HI 96720
Phone (808) 215-7820

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1881361533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10119",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967215119",
            "telephone_number": "808-215-7820",
            "fax_number": "808-215-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 KEAWE ST STE 306",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202486",
            "telephone_number": "808-215-7820",
            "fax_number": "808-215-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATDULA",
        "first_name": "NICASIO",
        "middle_name": "PAGUIO",
        "name_prefix": "Mr.",
        "credential": "VICE PRESIDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HILO",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 Keawe St Ste 306",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967202486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HILO",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 Keawe St Ste 306",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967202486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.