Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417386475 Individual Practitioner Male Practitioner

David Mendonsa , PA-C

General Practice • Keaau, HI

Professional Overview & Biography Verified Profile Summary

David Mendonsa, PA-C is a registered healthcare professional specializing in General Practice in Keaau, HI. Practice services are available at 15-1697 TENTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15-1697 Tenth Ave

Keaau, HI 96749

Telephone 8083774734
Associated Practice Facility / Clinic
🏢 Paradise Medical Services Llc Facility NPI 1124666201

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Keaau, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Keaau, HI (183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License HI AMD621

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

Emergency Medical Technician, Paramedic

NUCC Taxonomy Code: 146L00000X

State License HI ATP1392

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jessica Mendonsa , PA-C

Physician Assistant

NPI 1124458930

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 06, 2018

Registered at 15-1697 TENTH AVE, KEAAU, HI 96749 (Tel: 8083774734)

📍
Updated Business Mailing Address March 06, 2018

Registered at PO BOX 5484, HILO, HI 967208484 (Tel: 8083774734)

👤
Provider Name / Credentials Updated March 06, 2018

Recorded as DAVID MENDONSA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2018

Emergency Medical Technician, Paramedic (License #ATP1392 in HI)

NPI Profile Active November 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2013

Registered at 164 NW MACLEAY BLVD, PORTLAND, OR 972103323 (Tel: 8082680268)

📍
Updated Business Mailing Address November 10, 2013

Registered at 164 NW MACLEAY BLVD, PORTLAND, OR 972103323 (Tel: 8082680268)

👤
Provider Name / Credentials Updated November 10, 2013

Recorded as DAVID MENDONSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 10, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417386475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2013
Last Update: March 06, 2018
Sole Proprietor: Yes

Mailing Address

Po Box 5484

Hilo, HI 967208484

Phone: 8083774734

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.