KEIKI KORNER PEDIATRICS (NPI# 1205112109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205112109 |
| Entity Type | Organization |
| Organization Name | KEIKI KORNER PEDIATRICS |
| Practice Address |
1001 Kamokila Blvd Suite 197 Kapolei HI 96707-2014 |
| Practice Telephone | 8086749600 |
| Practice Fax Number | 8086749700 |
| Mailing Telephone | 8086749600 |
| Mailing Fax Number | 8086749700 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | DR. LEILA M AGULLANA (OWNER) |
| Authorized Official Telephone | 8086749600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12344 | HI | Ambulatory Health Care Facilities |
| Street Address |
1001 KAMOKILA BLVD SUITE 197 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821043803 | Wendell Calvin Danforth | Ophthalmology | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707-2014 | 2006-05-24 |
| 1750919825 | Janea Yamagata-lopez | Nurse Practitioner | 1001 Kamokila Blvd, Kapolei, HI 96707-2014 | 2020-04-01 |
| 1780230201 | Shannon Elizabeth Hoey | Behavioral Analyst | 1001 Kamokila Blvd, Kapolei, HI 96707-2014 | 2019-08-12 |
| 1861954612 | Grace Louise Pate | Behavioral Analyst | 1001 Kamokila Blvd, Kapolei, HI 96797 | 2019-04-02 |
| 1730636788 | Jennifer S Iyo | Physical Therapist | 1001 Kamokila Blvd, #114, Kapolei, HI 96707-2014 | 2016-09-07 |
| 1942675814 | Maya T C Hanakahi | Physical Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707-2014 | 2015-12-03 |
| 1083011514 | Cory Nicolas | Counselor | 1001 Kamokila Blvd, Kapolei, HI 96707-2014 | 2014-11-26 |
| 1487050803 | Dusti Meeks | Massage Therapist | 1001 Kamokila Blvd, #127, Kapolei, HI 96707-2014 | 2014-11-12 |
| 1538591961 | Everly Rae F San Agustin | Physical Therapist | 1001 Kamokila Blvd, Suite 127, Kapolei, HI 96707-2014 | 2013-08-08 |
| 1093062648 | Tiffany C Lee | Psychologist | 1001 Kamokila Blvd, Suite 262, Kapolei, HI 96707-2014 | 2012-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609166537 | The Family Doctor | Clinic/Center | 1001 Kamokila Blvd Ste 181, Kapolei, HI 96707-2090 | 2011-04-12 |
| 1396355616 | Island Functional Medicine LLC | Clinic/Center | 2176 Lauwiliwili St Ste 12, Kapolei, HI 96707-1882 | 2020-08-01 |
| 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 |
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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.