WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC (NPI# 1275566424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275566424 |
| Entity Type | Organization |
| Organization Name | WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC |
| Other Organization Name | WAIANAE COAST COMPREHENSIVE HEALTH CENTER |
| Practice Address |
86-260 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086973300 |
| Practice Fax Number | 8086973687 |
| Mailing Telephone | 8086973300 |
| Mailing Fax Number | 8086973687 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MR. JAMES Z. CHEN (CFO) |
| Authorized Official Telephone | 8086973300 |
| Authorized Official Credential | MBA, CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Waianae Coast Comprehensive Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447727318 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinical Medical Laboratory | 94-428 Mokuola St Ste 108b, Waipahu, HI 96797-3396 | 2018-10-30 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1942673264 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 85-251 Farrington Hwy, Waianae, HI 96792-2113 | 2015-11-09 |
| 1851764179 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 85-626 Farrington Hwy, Waianae, HI 96792-2419 | 2015-11-09 |
| 1730253626 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 94-428 Mokuola St, Suite 108-b, Waipahu, HI 96797-3396 | 2006-11-20 |
| 1366942831 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2018-02-20 |
| 1902288830 | Waianae District Comprehensive Health and Hospital Board, Inc | Optometrist | 86-120 Farrington Hwy, C-301, Waianae, HI 96792-3000 | 2015-06-27 |
| 1295928497 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 87-2070 Farrington Hwy, Leeward Pediatrics, Suite N, Nanakuli, HI 96792-3756 | 2007-08-21 |
| 1558492066 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-03-08 |
| 1083749279 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinical Medical Laboratory | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-02-21 |
| Street Address |
86-260 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-3128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942266739 | John Louis Myhre | Psychologist | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-04-21 |
| 1154932432 | Steven Keone Young | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-08-11 |
| 1164049169 | Christopher Dayoan | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-25 |
| 1831714930 | Victor Francisco Solis Ojeda | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-15 |
| 1053935320 | Tina Hualani Myers | Nurse Practitioner | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-06-03 |
| 1710516448 | Cody Wei Ming Sia | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-04-04 |
| 1023643921 | Cara Lawler | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-03-11 |
| 1760016273 | Nadiene Oh Wu | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-24 |
| 1568096113 | Cory Daley | Student in an Organized Health Care Education/Training Program | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-22 |
| 1437782158 | Annalise Ferreira | Counselor | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376674788 | Mary Allnes Glover | Family Medicine | 87226 Holomalia Place, Waianae, HI 96792-3706 | 2007-03-08 |
| 1295841104 | Angel Castro Cunanan | Family Medicine | 87-1784 Farrington Hwy, Waianae, HI 96792 | 2006-08-22 |
| 1235170689 | Carolina Dominica Davide | Family Medicine | 85-910 Farrington Hwy, Suite 102, Waianae, HI 96792-2651 | 2006-06-09 |
| 1306372693 | Ashley Baldauf | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2017-05-04 |
| 1558718908 | Matthew Linden | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2016-05-16 |
| 1609221886 | Meghann Lau Martelly | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792 | 2016-04-26 |
| 1215132915 | Christina K.k. Adams | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-06-20 |
| 1154525368 | Catherine Joanne Simonovich Tsang | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-06-12 |
| 1083798722 | Malia-susanne L Lee | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-10-25 |
| 1417038522 | Frederick A Dodge | Family Medicine | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-10-17 |
| Find all providers in WAIANAE | ||||
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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.