CPC HAWAII LIFE CENTER LLC (NPI# 1104379536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104379536 |
| Entity Type | Organization |
| Organization Name | CPC HAWAII LIFE CENTER LLC |
| Practice Address |
1330 Ala Moana Blvd Unit 9 Honolulu HI 96814-4200 |
| Practice Telephone | 8089455433 |
| Practice Fax Number | 8083801465 |
| Mailing Telephone | 8089455433 |
| Mailing Fax Number | 8083801465 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | DR. MICHAEL ANTHONY PASQUALE (CEO) |
| Authorized Official Telephone | 8089455433 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208200000X | Plastic Surgery | DOS696 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1330 ALA MOANA BLVD UNIT 9 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386782944 | Marion Speers | Physical Therapist | 1330 Ala Moana Blvd, Suite 2101, Honolulu, HI 96814-4200 | 2007-02-02 |
| 1568097228 | Catherine Juliano | Counselor | 1330 Ala Moana Blvd, Honolulu, HI 96814-4200 | 2020-03-03 |
| 1750914594 | Emily Hultgren | Behavioral Analyst | 1330 Ala Moana Blvd, Honolulu, HI 96814-4200 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639231244 | Michael Anthony Pasquale | Plastic Surgery | 500 Ala Moana Blvd Ste 4-470, Honolulu, HI 96813-4925 | 2006-12-14 |
| 1073688081 | Asia Pacific Plastic Surgery Inc | Plastic Surgery | 1401 S Beretania St Ste 888, Honolulu, HI 96814-1871 | 2006-11-22 |
| 1194810689 | Gregory Gary Caputy | Plastic Surgery | 246 Paiko Dr, Honolulu, HI 96821-2321 | 2006-10-03 |
| 1740372697 | Robert Swaim Flowers | Plastic Surgery | 677 Alamoana Blvd, #1011, Honolulu, HI 96813-5471 | 2006-09-29 |
| 1164531216 | Carl Legaspi Delos Reyes | Plastic Surgery | 4470 Sierra Dr, Honolulu, HI 96816-4022 | 2006-08-30 |
| 1356785547 | Vincent J. Nip, M.d., Inc | Plastic Surgery | 1380 Lusitana St, Suite 808, Honolulu, HI 96813-2449 | 2013-04-18 |
| 1417121757 | Marco Rizzo Md Inc | Plastic Surgery | 1329 Lusitana St, Suite 401, Honolulu, HI 96813 | 2008-04-17 |
| 1174701973 | Scott M Nishikawa | Plastic Surgery | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2008-02-04 |
| 1912196650 | Michael Robert Pharaon | Plastic Surgery | 888 S King St, Straub Clinic & Hospital (plastic Surgery), Honolulu, HI 96813-3097 | 2007-10-18 |
| 1851509202 | Todd H.m. Mirzai,m.d.,llc | Plastic Surgery | 1907 S Beretania St, Suite 120, Honolulu, HI 96826-1301 | 2007-05-18 |
| Find all providers in HONOLULU | ||||
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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.