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PARADISE MEDICAL
NPI 1124666201
General Practice in Wailuku, HI

Active since December 19, 2019
2120 KAOHU ST, WAILUKU, HI 96793(808) 377-4734(808) 377-4734 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2022, Jan 20, 2020, Dec 19, 2019 (3 updates tracked since 2019).

About Paradise Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADISE MEDICAL (NPI 1124666201) is a healthcare organization registered as a general practice in Wailuku, Hawaii and active in the NPI registry since December 2019. The organization lists Jessica S B Mendonsa, Provider/llc Member, as its authorized official.

NPPES Registry Identity

NPI1124666201
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePARADISE MEDICAL SERVICES LLC
Location Address2120 KAOHU STWailuku, HI 96793-2205
Mailing Address2120 Kaohu StWailuku, HI 96793-2205 · (808) 377-4734 · Fax (808) 377-4734
Phone(808) 377-4734
Fax(808) 377-4734
Organization SubpartNo
Authorized OfficialJessica S B MendonsaProvider/llc Member · (808) 377-4734
Enumeration DateDecember 19, 2019
Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
✔ NPI 1124666201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2120 KAOHU ST, Wailuku, HI 96793
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Other Names 1

Doing Business AsParadise Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA SAGE BLANK MENDONSA PA-C
Physician Assistant
2120 KAOHU ST
WAILUKU, HI 96793
Maui County (808) 377-4734

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paradise Medical Services LLC's NPI number?

The NPI number for Paradise Medical Services LLC is 1124666201. It was assigned to this organization in the NPPES registry on December 19, 2019. The provider is doing business as Paradise Medical.

Where is Paradise Medical Services LLC located?

Paradise Medical Services LLC is located at 2120 Kaohu St, Wailuku, HI 96793. The listed phone number is (808) 377-4734.

What is Paradise Medical Services LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Paradise Medical Services LLC was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.