NPIMap

Organization Active NPI

Brian Manjarres MD Corporation

Doing business as Hana Pono Clinic

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1982042453
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16980 Issued in HI
Legal business name
BRIAN MANJARRES MD CORPORATION
Doing business as
Hana Pono Clinic
Practice address
1401 S Beretania St
Suite 450
Honolulu, HI 96814-1870
Phone
(808) 537-6688
Fax
(808) 537-6689
NPI assigned
Jun 6, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Dr. Brian Michael Manjarres, MD
Title
Medical Director
Phone
(415) 990-6355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16980 HI Primary

Addresses

Primary practice location

1401 S Beretania St
Suite 450
Honolulu, HI 96814-1870

Mailing address

3857 Birch St
Suite 605
Newport Beach, CA 92660-2616
Phone (949) 783-3600

Other names 1

  • Hana Pono Clinic Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1401 S Beretania St
Ste 450
Honolulu, HI 96814
Phone (808) 457-1082

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1982042453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 BIRCH ST",
            "address_2": "SUITE 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602616",
            "telephone_number": "949-783-3600",
            "fax_number": "949-783-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "SUITE 450",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-537-6688",
            "fax_number": "808-537-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MANJARRES MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "MANJARRES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-990-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD16980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hana Pono Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 6, 2013; 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.