Individual provider Active NPI

Sanders Cabradilla Sandoval, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1881873487
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP1196 Issued in HI
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 537-7867
Fax
(808) 547-4001
NPI assigned
Oct 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP17256 CA
Acute Care Nurse Practitioner 363LA2100X NP1196 HI Primary

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 537-7876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100104000493 HI Practitioner - Nurse Practitioner 3678610458 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehab Associates of the Pacific LLCGroup PAC ID 6608190822, 9 clinicians
Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

226 N Kuakini St
Honolulu, HI 96817-2488
Phone (808) 531-3511

770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960

98 -1079 Moanalua Rd
Suite 480
Aiea, HI 96701-4723
Phone (808) 488-3400

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

Merit-based Incentive Payment System (MIPS)

Final score
83.35 of 100Reported as group
Quality
67.49
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP17256CAMDAcute Care Nurse Practitioner
NP1196HIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mi-Health LLC CurrentSince Mar 15, 2023 Accepting new patients
Rehab Associates of the Pacific LLC CurrentSince May 1, 2022 Accepting new patients
Rehabilitation Hospital of the Pacific CurrentSince Nov 18, 2018 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 28, 2023 Accepting new patients
The Queen'S Medical Center Current Accepting new patients
Rehabilitation Hospital of the Pacific CurrentSince Nov 6, 2018 Accepting new patients
The Queens Medical Center CurrentSince Oct 6, 2009 Accepting new patients
Provider Partners Care Management LP CurrentSince May 1, 2025 Accepting new patients
Straub Clinic & Hospital CurrentSince Oct 28, 2023 Accepting new patients
The Queens Medical Center CurrentSince Oct 6, 2009 Accepting new patients
Hosanna LLC Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 425
Aiea, HI 96701
Phone (808) 486-8000

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

98-1079 Moanalua Rd
Ste 480
Aiea, HI 96701
Phone (808) 487-8922

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1100 Ward Ave
Ste 700
Honolulu, HI 96814
Phone (808) 221-8580

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

2230 Liliha St
Honolulu, HI 96817
Phone (808) 547-6011

226 N Kuakini St
Honolulu, HI 96817
Phone (808) 531-3511

770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960

770 Kapiolani Blvd
Ste 114
Honolulu, HI 96813
Phone (808) 666-9960

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Interoperability endpoints

  • Direct secure messaging: sanders.sandoval@532995347120132.direct.elationemr.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1881873487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-537-7876",
            "fax_number": "808-547-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-537-7867",
            "fax_number": "808-547-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "SANDERS",
        "middle_name": "CABRADILLA",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP17256",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "NP1196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.