BENJAMIN T. GAMBOA,M.D. L.L.C. (NPI# 1700205275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700205275 |
| Entity Type | Organization |
| Organization Name | BENJAMIN T. GAMBOA,M.D. L.L.C. |
| Practice Address |
135 S Wakea Ave Ste 107 Kahului HI 96732-1385 |
| Practice Telephone | 8088730299 |
| Practice Fax Number | 8088730290 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | BENJAMIN T GAMBOA (PHYSICIAN) |
| Authorized Official Telephone | 8088730299 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD 8771 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
135 S WAKEA AVE STE 107 |
| City | KAHULUI |
| State | HI |
| Zip Code | 96732-1385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861473233 | Benjamin Tiongson Gamboa | Internal Medicine | 135 S Wakea Ave, Ste 107, Kahului, HI 96732-1385 | 2005-11-10 |
| 1043760077 | Ohana Wellness Maui, LLC | Marriage & Family Therapist | 135 S Wakea Ave, Suite 105, Kahului, HI 96732-1385 | 2016-10-14 |
| 1164836870 | Pakolea Rehab | Rehabilitation Practitioner | 135 S Wakea Ave, Kahului, HI 96732-1385 | 2014-06-20 |
| 1275964751 | Angie Peters Mpt LLC | Specialist | 135 S Wakea Ave, Unit 112, Kahului, HI 96732-1385 | 2013-12-09 |
| 1386985315 | Noreen Joyce | Social Worker | 135 S Wakea Ave, Ste 101, Kahului, HI 96732 | 2013-03-15 |
| 1578804126 | Debbie Spates | Marriage & Family Therapist | 135 S Wakea Ave, Suite 208, Kahului, HI 96732-1385 | 2013-03-06 |
| 1174867519 | Satoko Miki-o'donovan | Counselor | 135 S Wakea Ave, Suite 208, Kahului, HI 96732-1385 | 2012-11-26 |
| 1902152747 | Luukia Ruidas, Md LLC | Clinic/Center | 135 S Wakea Ave, #111, Kahului, HI 96732-1385 | 2012-07-31 |
| 1952670515 | Rachael Mcgee Pope | Speech-Language Pathologist | 135 S Wakea Ave, Suite 112, Kahului, HI 96732-1385 | 2011-12-27 |
| 1972893980 | Patti K M Endo Md Inc | Dermatology | 135 S Wakea Ave, Suite 111, Kahului, HI 96732-1385 | 2011-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749435 | Catherine Phan | Behavior Technician | 427 Ala Makani St, Suite 200, Kahului, HI 96732 | 2020-04-16 |
| 1427535665 | Miles H. Katahara, D.d.s., Inc. | Dentist | 140 Hoohana St. Suite 204, Kahului, HI 96732 | 2018-07-20 |
| 1013428291 | Maui Family Young Men's Christian Association | Health Educator | 250 Kanaloa Ave, Kahului, HI 96732 | 2017-10-16 |
| 1467998765 | Costco | Clinic/Center | 540 Haleakala Highway, Kahului, HI 96732 | 2017-01-10 |
| 1164884649 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450a Kanaloa Street, Kahului, HI 96732 | 2016-03-24 |
| 1487016846 | Arc of Maui County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 450 B Kanaloa Avenue, Kahului, HI 96732 | 2016-03-24 |
| 1396118311 | Allison Yoshimoto | Speech-Language Pathologist | 122 Anamuli Street, Kahului, HI 96732 | 2015-11-13 |
| 1609252295 | Nanc Ellen Fellerman (-yahr) | Speech-Language Pathologist | 161 S. Wakea Avenue, Imua Family Services, Kahului, HI 96732 | 2015-08-05 |
| 1134508716 | Bayada Home Care | Community/Behavioral Health | 427 Ala Makani Street, Suite 200, Kahului, HI 96732 | 2015-05-28 |
| 1467843656 | B.c.p., Inc. Dba/ Bayada Home Health Care | Home Health | 427 Ala Makani St., Suite 200, Kahului, HI 96732 | 2015-02-10 |
| Find all providers in zip 96732 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710082060 | Phillip Alan Milne | Internal Medicine | 135 S Wakea Ave Ste 101, Kahului, HI 96732-1385 | 2006-09-13 |
| 1861473233 | Benjamin Tiongson Gamboa | Internal Medicine | 135 S Wakea Ave, Ste 107, Kahului, HI 96732-1385 | 2005-11-10 |
| 1831397546 | Jonathan W. Allen, M.d., Inc. | Internal Medicine | 135 S Wakea Ave, Suite #101, Kahului, HI 96732-1385 | 2007-07-03 |
| 1265551311 | Maui Cardiology, Ltd. | Internal Medicine | 135 S Wakea Ave Ste 101, Kahului, HI 96732-1385 | 2007-03-28 |
| 1134222151 | James E Muto | Internal Medicine | 89 Hookele St, #103, Kahului, HI 96732-3532 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033762760 | Kona Cardiovascular Inc | Internal Medicine | 75-167 Hualalai Rd Ste 100, Kailua Kona, HI 96740-1714 | 2019-07-22 |
| 1275090706 | Steven S Azuma Md Inc | Internal Medicine | 321 N Kuakini St Ste 709, Honolulu, HI 96817-2362 | 2019-02-20 |
| 1538363718 | Armand J Wohl Md Facc Medical Corp | Internal Medicine | 74-5620 Palani Rd # 100, Kailua Kona, HI 96740-3640 | 2007-06-12 |
| 1245452911 | Wesley C. Wakai, M.d., Inc. | Internal Medicine | 1010 South King Street, Suite 205, Honolulu, HI 96814-1798 | 2007-05-03 |
| 1871637397 | Ramez Bassir | Internal Medicine | 1221 Victoria St Apt 2804, Honolulu, HI 96814-1441 | 2007-02-16 |
| 1851432512 | Bernard W.d. Fong | Internal Medicine | 97 Dowsett Ave, Honolulu, HI 96817-1107 | 2007-02-08 |
| 1659430072 | Coolidge S Wakai | Internal Medicine | 1010 S King Street, Suite 110, Honolulu, HI 96814-1702 | 2006-12-08 |
| 1578641197 | Craig P. Goard | Internal Medicine | 53-532 Iole Rd., Kapaau, HI 96755-1774 | 2006-11-01 |
| 1184721763 | Armand J. Wohl | Internal Medicine | 74-5620 Palani Rd, Suite 100, Kailua Kona, HI 96740-3640 | 2006-09-17 |
| 1467557660 | Aloha Cardiology LLC | Internal Medicine | 210 Imi Kala St, Ste 209, Wailuku, HI 96793-1274 | 2006-09-13 |
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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.