Azal Lopez, APRN
Individual provider Active NPI Nurse Practitioner · Kailua, HI
NPI 1992561872 · NPPES record last updated May 10, 2025
Key facts
- NPI
- 1992561872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN-4787 (HI)
- Practice address
- 42-477 Kalanianaole Hwy
Kailua, HI 96734-4302 - Phone
- (808) 266-9696
- NPI assigned
- Feb 27, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Waianae District Comprehensive Health and Hospital Board Incorporated
Practice addresses (Care Compare)
86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260527002230 | HI | Practitioner - Nurse Practitioner | 5597235994 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-4787 | HI | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN-4787 | HI | Yes |
Addresses
Primary practice location
42-477 Kalanianaole Hwy
Kailua, HI 96734-4302
Mailing address
3030 Ala Ilima St Apt 804
Honolulu, HI 96818-2767
Phone (347) 598-4456
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- 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.