Provider Demographics
NPI:1780477240
Name:ARAKAKI, HENRY III
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:ARAKAKI
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4535 KAPALUA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-6733
Mailing Address - Country:US
Mailing Address - Phone:805-610-5616
Mailing Address - Fax:
Practice Address - Street 1:1145 E CLARK AVE STE F
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5169
Practice Address - Country:US
Practice Address - Phone:805-361-0756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist