NPIMap

Organization Active NPI

Douglas Graham Inc.

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1982656146
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DOUGLAS GRAHAM INC.
Doing business as
Discovery Bay Medical Clinic
Practice address
1778 Ala Moana Blvd
Ul-5
Honolulu, HI 96815-1605
Phone
(808) 955-5553
Fax
(808) 955-5575
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christine Graham
Title
Vice President
Phone
(808) 955-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X HI Primary

Addresses

Primary practice location

1778 Ala Moana Blvd
Ul-5
Honolulu, HI 96815-1605

Mailing address

1778 Ala Moana Blvd
Ul-5
Honolulu, HI 96815-1605
Phone (808) 955-5553

Other identifiers 1

IdentifierTypeStateIssuer
00241984OtherHIBC/BS HAWAII GROUP#

Other names 1

  • Discovery Bay Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982656146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 ALA MOANA BLVD",
            "address_2": "UL-5",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151605",
            "telephone_number": "808-955-5553",
            "fax_number": "808-955-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 ALA MOANA BLVD",
            "address_2": "UL-5",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151605",
            "telephone_number": "808-955-5553",
            "fax_number": "808-955-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS GRAHAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-955-5553"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS HAWAII GROUP#",
            "identifier": "00241984",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discovery Bay Medical 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 Aug 22, 2020; 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.