MEDICARE: DR. CARLOS WARTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A35572	CA
2	207QA0401X	Addiction Medicine (Family Medicine) Physician	12915	HI
3	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	12915	HI
4	2084P0800X	Psychiatry Physician	12915	HI
5	2084P0800X	Psychiatry Physician	A35572	CA
6	2084P0802X	Addiction Psychiatry Physician	12915	HI
7	2084P0804X	Child & Adolescent Psychiatry Physician	12915	HI
8	2084P0804X	Child & Adolescent Psychiatry Physician	A35572	CA
9	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	12915	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	24716	OTHER	HI	HMSA

General Provider Information

NPI Number	:	1558302802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS WARTER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 10885
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-0885
Country	:	US
Telephone Number	:	808-732-6464
Fax Number	:	808-732-5433

Provider Business Practice Location Address
First Line	:	1188 BISHOP ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96813-3313
Country	:	US
Telephone Number	:	808-732-6464
Fax Number	:	808-732-6433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/11/2025

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Directions to “ DR. CARLOS WARTER M.D.” Practice Location

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