Provider Demographics
NPI:1164086336
Name:SAOIT, ALLAN JAMES ABLAZA (APRN)
Entity type:Individual
Prefix:
First Name:ALLAN JAMES
Middle Name:ABLAZA
Last Name:SAOIT
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 KAMAAHA AVE APT 32
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4617
Mailing Address - Country:US
Mailing Address - Phone:808-627-2775
Mailing Address - Fax:
Practice Address - Street 1:1245 KUALA ST STE 102A
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-3900
Practice Address - Country:US
Practice Address - Phone:808-627-2775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI87570163W00000X
HI5296363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse