SPARK MATSUNAGA VA MEDICAL CENTER (NPI# 1063881449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063881449 |
| Entity Type | Organization |
| Organization Name | SPARK MATSUNAGA VA MEDICAL CENTER |
| Practice Address |
459 Patterson Road Honolulu HI 96819 |
| Practice Telephone | 8087481341 |
| Mailing Telephone | 8087481341 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Authorized Official Name | MR. MICHAEL JACKSON (ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 8088386509 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
APRN-1831 | HI | Ambulatory Health Care Facilities |
| Street Address |
459 PATTERSON ROAD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206404 | Buu-an Ngoc Nguyen | Pharmacist | 459 Patterson Road, Pharmacy Service, Honolulu, HI 96819 | 2005-06-21 |
| 1629566799 | Caralyn Takata | Dentist | 459 Patterson Road, Honolulu, HI 96819 | 2018-04-24 |
| 1356701817 | Jason Heath Ledford | Social Worker | 459 Patterson Road, Department of Veterans Affairs, Honolulu, HI 96819-6016 | 2016-02-26 |
| 1255684429 | Christiana Kylene Hebert | Nurse Practitioner | 459 Patterson Road, Teledermatology, Honolulu, HI 96819 | 2012-10-24 |
| 1285719963 | Rosana S Mak-miyagi | Counselor | 459 Patterson Road, Vapihcs, Honolulu, HI 96819-1710 | 2006-10-25 |
| 1487741666 | Chau Nhu Nguyen | Optometrist | 459 Patterson Road, Sc 11, Honolulu, HI 96819 | 2006-10-06 |
| 1962595470 | Geri Kumano Kimura | Pharmacist | 459 Patterson Road, Matsunaga Vamc Pharmacy (119), Honolulu, HI 96819-1522 | 2006-10-02 |
| 1427141100 | Elizabeth K Tam | Internal Medicine | 459 Patterson Road, Vapihcs, Honolulu, HI 96819 | 2006-10-02 |
| 1184716631 | Gloriann Marie Dalere Watson | Pharmacist | 459 Patterson Road, Department of Veteran Affairs Pharmacy, Honolulu, HI 96819 | 2006-09-29 |
| 1669564944 | Donna Terumi Ando | Social Worker | 459 Patterson Road, Honolulu, HI 96819 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515679 | Dept of Veterans Affairs | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2013-05-17 |
| 1578653127 | Ken C. Arakawa Md Inc. | Clinic/Center | 1329 Lusitana St Ste 206, Honolulu, HI 96813-2411 | 2006-10-13 |
| 1962453522 | Veterans Administration Pacific Island Health Care System | Clinic/Center | 459 Patterson Rd, Honolulu, HI 96819-1522 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386035350 | Honolulu Vamc | Clinic/Center | 628-b Seventh Street, Lanai City, HI 96783-9678 | 2015-02-12 |
| 1518900232 | Honolulu Vamc | Clinic/Center | 4485 Pahee St, Suite 150, Lihue, HI 96766-2018 | 2006-06-13 |
| 1053367458 | Honolulu Vamc | Clinic/Center | 75-377 Hualalai Rd, Kailua Kona, HI 96740-9724 | 2006-05-26 |
| 1194116160 | Honolulu Vamc | Clinic/Center | 280 Home Olu Place, Kaunakakai, HI 96748-9998 | 2015-02-12 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1831136746 | Honolulu Vamc | Clinic/Center | 203 Hoohana St, Suite 303, Kahului, HI 96732-2476 | 2006-05-31 |
| 1396791356 | Honolulu Vamc | Clinic/Center | 45 Mohouli St, Hilo, HI 96720-7210 | 2006-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.