Active NPI
Raechel Pacheco, M.D.
- Family Medicine Physician
- Kapolei, HI
National Provider Identifier
1902959000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-17605
- Practice address
- 91-1227 Enterprise Ave
Kapolei, HI 96707-2150 - Phone
- (080) 672-1678
- Fax
- (808) 278-5659
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2009-0763 | NM | |
| Family Medicine Physician | 207Q00000X | RS2006-0356 | NM | |
| Family Medicine Physician | 207Q00000X | MD-17605 | HI | Primary |
Addresses
Primary practice location
91-1227 Enterprise Ave
Kapolei, HI 96707-2150
Mailing address
91-729 Launahele St
Ewa Beach, HI 96706-4756
Phone (808) 554-7990
Other practice location 1
1 Jarrett White Rd
Tripler Amc, HI 96859-5001
Phone (808) 433-5000
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-17605 | HI | MD | Family Medicine Physician |
| MD2009-0763 | NM | MD | Family Medicine Physician |
| RS2006-0356 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1902959000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-729 LAUNAHELE ST",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967064756",
"telephone_number": "808-554-7990",
"fax_number": "808-278-5659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1227 ENTERPRISE AVE",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072150",
"telephone_number": "080-672-1678",
"fax_number": "808-278-5659"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Amc",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-5000",
"fax_number": "808-278-5659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PACHECO",
"first_name": "RAECHEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2009-0763",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "RS2006-0356",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-17605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.