DAVID MENDONSA PA-C – NPI #1417386475
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

DAVID MENDONSA is a physician located in KEAAU, HI. NPPES has assigned the NPI number 1417386475 to DAVID MENDONSA on November 10, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Mar 06, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAVID MENDONSA below.

NPI Profile for
DAVID MENDONSA

NPI Number
1417386475
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID MENDONSA
Credentials
PA-C
Primary location
15-1697 TENTH AVE
KEAAU, HI 96749
Phone: (808) 377-4734 Fax:
Mailing address
PO BOX 5484
HILO, HI 96720-8484
Phone: (808) 377-4734 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
HI AMD621
390200000X
- Student in an Organized Health Care Education/Training Program
146L00000X
- Emergency Medical Technician, Paramedic
HI ATP1392

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.