Healthcare Provider Details

I. General information

NPI: 1558302802
Provider Name (Legal Business Name): CARLOS WARTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHARLES WARTER M.D.

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BISHOP ST
HONOLULU HI
96813-3313
US

IV. Provider business mailing address

PO BOX 10885
HONOLULU HI
96816-0885
US

V. Phone/Fax

Practice location:
  • Phone: 808-732-6464
  • Fax: 808-732-6433
Mailing address:
  • Phone: 808-732-6464
  • Fax: 808-732-5433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA35572
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number12915
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number12915
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number12915
License Number StateHI
# 5
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA35572
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number12915
License Number StateHI
# 7
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number12915
License Number StateHI
# 8
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA35572
License Number StateCA
# 9
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number12915
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: