SAMANTHA LLC (NPI# 1063575892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063575892 |
| Entity Type | Organization |
| Organization Name | SAMANTHA LLC |
| Other Organization Name | OHANA MEDICAL CARE |
| Practice Address |
75-5995 Kuakini Hwy Suite 445 Kailua Kona HI 96740-2144 |
| Practice Telephone | 8083262873 |
| Practice Fax Number | 8083269530 |
| Mailing Telephone | 8083262873 |
| Mailing Fax Number | 8083269530 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARY JANE SUNGA CASTRO (PHYSICIAN MEMBER) |
| Authorized Official Telephone | 8083262873 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
11969 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OHANA MEDICAL CARE | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Samantha LLC | 6607 S. Atchison Way, Centennial, CO 80111 |
| Washington State Corporations | SAMANTHA LLC | 832 Collins Creek Ln E, Port Orchard, WA 98366-8270 |
| Street Address |
75-5995 KUAKINI HWY SUITE 445 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083664064 | Jeffrey Aric Bergsman | Internal Medicine | 75-5995 Kuakini Hwy, Kailua Kona, HI 96740-2144 | 2006-05-11 |
| 1700416765 | Rhonda Leigh Hamilton | Nurse Practitioner | 75-5995 Kuakini Hwy, Kailua Kona, HI 96740-2144 | 2020-01-17 |
| 1184159949 | Donald Joseph Curry | Family Medicine | 75-5995 Kuakini Hwy, Unit 213, Kailua Kona, HI 96740-2144 | 2017-04-28 |
| 1760936363 | Christopher Adam Palacios | Physician Assistant | 75-5995 Kuakini Hwy, #213, Kailua Kona, HI 96740-2144 | 2016-08-11 |
| 1154712149 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 75-5995 Kuakini Hwy, Ste 5b, Kailua Kona, HI 96740-2144 | 2015-02-11 |
| 1144621285 | Transformation Health Network | Clinic/Center | 75-5995 Kuakini Hwy, Suite 213, Kailua Kona, HI 96740-2144 | 2014-09-09 |
| 1386050169 | Alii Bariatric Center | General Practice | 75-5995 Kuakini Hwy, Suite 427, Kailua Kona, HI 96740-2144 | 2014-07-01 |
| 1639438641 | Kirsten Westra | Social Worker | 75-5995 Kuakini Hwy, Suite 126, Kailua Kona, HI 96740-2144 | 2012-05-10 |
| 1588952287 | Big Island Comprehensive Neurological Services, Ltd. | Psychiatry & Neurology | 75-5995 Kuakini Hwy, Ste 445, Kailua Kona, HI 96740-2144 | 2011-07-14 |
| 1932407434 | Gifted Hands Massage Therapy, LLC | Massage Therapist | 75-5995 Kuakini Hwy, Suite 603, Kailua Kona, HI 96740-2144 | 2011-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761246 | Norman Goody, Md Inc | Clinic/Center | 75-809 Keaolani Dr, Kailua Kona, HI 96740-8815 | 2020-05-13 |
| 1528576436 | Koa Clinic, Inc | Clinic/Center | 75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123 | 2018-01-12 |
| 1306093968 | Mary K R Warren M.d. Inc | Clinic/Center | 75-5995 Kuakini Hwy, 211, Kailua Kona, HI 96740-2144 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498680 | Blane K. Chong, Md Sports Medicine and Family Practice | Clinic/Center | 3221 Waialae Ave Ste 390, Honolulu, HI 96816-5850 | 2020-08-20 |
| 1497371348 | Vinson K Diep Md Inc | Clinic/Center | 1319 Punahou St Ste 1190, Honolulu, HI 96826-1089 | 2020-06-16 |
| 1891324471 | Compcare, LLC | Clinic/Center | 94-997 Hanauna St 5f, Waipahu, HI 96797 | 2020-04-05 |
| 1093348161 | Amh Series II, Hi, LLC | Clinic/Center | 415 Uluniu St Ste D, Kailua, HI 96734-2503 | 2020-02-18 |
| 1417592254 | Nancy S. Clarke, M.d. LLC | Clinic/Center | 98-211 Pali Momi St Ste 800, Aiea, HI 96701-4370 | 2019-11-15 |
| 1972071538 | Foundaton Research | Clinic/Center | 1314 S King St Ste 653, Honolulu, HI 96814-1979 | 2018-11-12 |
| 1962929398 | Mark T. Kuge,md,inc | Clinic/Center | 1481 S King St Ste 310, Honolulu, HI 96814-2684 | 2017-08-25 |
| 1346784139 | East Maui Medical Clinic, LLP | Clinic/Center | 4950 Uakea Road, Unit 2, Hana, HI 96713-0278 | 2016-12-13 |
| 1487102877 | Ka Wai Ola Medical Clinic LLC | Clinic/Center | 16-590 Old Volcano Rd, Ste. A, Keaau, HI 96749-8158 | 2016-09-14 |
| 1790230480 | Emi Ota, M.d., Inc. | Clinic/Center | 850 W Hind Dr Ste 205, Honolulu, HI 96821-1845 | 2016-08-23 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.