Veterans Administration Pacific Island Health Care System
Organization Active NPI VA Clinic/Center · Honolulu, HI
NPI 1962453522 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1962453522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- License
- 8680 (HI)
- Legal business name
- VETERANS ADMINISTRATION PACIFIC ISLAND HEALTH CARE SYSTEM
- Practice address
- 459 Patterson Rd
Honolulu, HI 96819-1522 - Phone
- (808) 433-0100
- NPI assigned
- May 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. James Eastman Hastings, M.D.
- Title
- Director
- Phone
- (808) 433-0100
Practitioners 11
-
Shaun P Berry, MD
-
Carlann Defontes, D.O.
-
Richard Girton III, M.D.
-
William T Hawkins Jr., MSN, CEN, RN
-
Rindy Ito, AU.D., CCC-A
-
Gwen Emiko Auyong, NURSE PRACTITIONER
-
Mark C Sanders, AU.D., CCC-A
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0988206 | VA Pacific Island Health Care System | Accreditation | May 22, 2026 |
National Provider Directory
Interoperability endpoints
- sarah.kistler@hawaiihie.medicity.net
- curtis.nakatsu@hawaiihie.medicity.net
- joseph.manlolo@hawaiihie.medicity.net
- shaun.berry@hawaiihie.medicity.net
- tim.hawkins@hawaiihie.medicity.net
- gwen.auyong@hawaiihie.medicity.net
- carlann.defontes@hawaiihie.medicity.net
- phenu.zachariah@hawaiihie.medicity.net
- rindy.ito@hawaiihie.medicity.net
- mark.sanders@hawaiihie.medicity.net
- richard.girton@hawaiihie.medicity.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | 8680 | HI | Yes |
Addresses
Primary practice location
459 Patterson Rd
Honolulu, HI 96819-1522
Mailing address
459 Patterson Rd
Honolulu, HI 96819-1522
Phone (808) 433-0100
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.