KAMALA PHAM MCNEVIN (NPI# 1538711650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538711650 |
| Entity Type | Individual |
| Full Name | KAMALA PHAM MCNEVIN |
| Other Name | KAMALA PHAM POULSEN |
| Credential | PA-C |
| Practice Address |
3288 Moanalua Rd Honolulu HI 96819-1469 |
| Practice Telephone | 8084320000 |
| Mailing Telephone | 8084320000 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3288 MOANALUA RD |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556124 | Richard Edward Shields | Pharmacist | 3288 Moanalua Rd, Kaiser Permanente Hawaii, Honolulu, HI 96819 | 2005-05-24 |
| 1629681838 | Beatrice Xiaoying Huang | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-26 |
| 1962014274 | Melissa Kobayakawa | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-18 |
| 1952910325 | Ashley Mccormick | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-07-30 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1548893456 | Dominique Lee | Student in an Organized Health Care Education/Training Program | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-02-19 |
| 1861035230 | Mikaela Jazmin Pecson Sampayan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-10-17 |
| 1598316820 | Ben Korthas | Radiology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-09-27 |
| 1033764808 | Rebecca Knight | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-08-07 |
| 1275187007 | Chelsea Tasaka | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693266 | Dylan S Everett | Physician Assistant | 888 S King St, Honolulu, HI 96813-3097 | 2019-11-15 |
| 1356815906 | Lindsey M Shannon | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-01-16 |
| 1952763013 | Alan Sunada | Physician Assistant | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2016-03-28 |
| 1750612768 | Priscilla Rodriguez | Physician Assistant | 1 Jarrett White Road, Neurosurgery Clinic, Honolulu, HI 96859-5000 | 2010-01-15 |
| 1912236993 | Larry Robert Alfrey | Physician Assistant | 1301 Punchbowl St, Trauma Services, Kinau 403, Honolulu, HI 96813-2402 | 2009-12-21 |
| 1609958149 | Janine Katins Delacourt | Physician Assistant | 1380 Lusitana Street, Suite 1012, Honolulu, HI 96813-2461 | 2006-10-20 |
| 1700986254 | John Y Lee | Physician Assistant | 3288 Moanalua Rd, Module 3b, Honolulu, HI 96819-1469 | 2006-09-24 |
| 1740242783 | Lindsey Michael Dang | Physician Assistant | 1301 Punchbowl St, Surgical Services, Honolulu, HI 96813-2402 | 2006-04-05 |
| 1427018522 | Daniel Morris | Physician Assistant | 1301 Punchbowl St, Iolani 3, Honolulu, HI 96813-2402 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659711323 | Edward Michael Lawlor | Physician Assistant | 45-552 Keneke Pl, Kaneohe, HI 96744-3420 | 2013-06-26 |
| 1588846125 | Heidi Sarkozy | Physician Assistant | 1830 Wells St Ste 103, Wailuku, HI 96793 | 2007-12-05 |
| 1598997322 | Gary D Edwards | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2009-08-12 |
| 1174749212 | Jameson John Pawlik | Physician Assistant | 41 E Lipoa St, Suite 21, Kihei, HI 96753-8148 | 2007-04-17 |
| 1922102474 | James Patrick Ferstel | Physician Assistant | 1 Jarrett White Road, Tripler Army Medical Center Attn - Mchk-qs, Tripler Amc, HI 96859-5001 | 2006-09-12 |
| 1023046372 | Simon Damian Hill | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2006-06-28 |
| 1629051925 | Nathaniel Kenneth Duff | Physician Assistant | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-11-21 |
| 1124019484 | Denis Shigeo Yamada | Physician Assistant | 1 Jarrett White Rd, Tamc, HI 96859-5001 | 2005-11-03 |
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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.