Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Brian Panganiban, PA-C

Individual provider Physician Assistant · NPI 1790958734

Mr. Brian Panganiban, PA-C is a Physician Assistant in Honolulu, Hawaii. Qualified in 2007, 19 years ago. Practices with Queens University Medical Group, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii and Tennessee.

Years since qualifying
19
Licensed in
HI, TN
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1301 Punchbowl St
Honolulu, HI 96813-2499
Phone: (808) 691-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 650 Joel Dr, Fort Campbell, KY 42223-5318 — (270) 798-8440

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence AMD755 (HI)
Physician Assistant Taxonomy 363A00000X · Licence 2738 (TN)

Record details

NPI number1790958734
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2008
Last updated in NPPESOctober 12, 2022
Certification dateOctober 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Honolulu