Active NPI
Paul-John Pangilinan, RDN
- Registered Dietitian
- Honolulu, HI
National Provider Identifier
1891231940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86049021
- Practice address
- 837 Ala Lilikoi St Apt 2
Honolulu, HI 96818-2430 - Phone
- (808) 778-4386
- NPI assigned
- Jan 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86049021 | HI | Primary |
Addresses
Primary practice location
837 Ala Lilikoi St Apt 2
Honolulu, HI 96818-2430
Mailing address
837 Ala Lilikoi St Apt 2
Honolulu, HI 96818-2430
Phone (808) 778-4386
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
| License | State | Type | Specialty |
|---|---|---|---|
| 86049021 | HI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1891231940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 ALA LILIKOI ST APT 2",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968182430",
"telephone_number": "808-778-4386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 ALA LILIKOI ST APT 2",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968182430",
"telephone_number": "808-778-4386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGILINAN",
"first_name": "PAUL-JOHN",
"name_prefix": "Mr.",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-12",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "HI",
"license": "86049021",
"primary": true
}
],
"identifiers": [],
"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 Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.