PALI MOMI MEDICAL CENTER (NPI# 1275588329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275588329 |
| Entity Type | Organization |
| Organization Name | PALI MOMI MEDICAL CENTER |
| Practice Address |
98-1079 Moanalua Rd Aiea HI 96701-4713 |
| Mailing Address |
1946 Young St Suite 320 Honolulu HI 96826-2169 |
| Practice Telephone | 8084866000 |
| Practice Fax Number | 8084854400 |
| Mailing Telephone | 8089737320 |
| Mailing Fax Number | 8089737325 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-06-07 |
| Authorized Official Name | MR. DAVID OKABE (CFO, SR. VICE PRESIDENT) |
| Authorized Official Telephone | 8085357202 |
| Is Organization Subpart | Y |
| Parent Organization Name | KAPIOLANI MEDICAL CENTER AT PALI MOMI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952508921 | Pali Momi Medical Center | Pharmacy | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2007-07-02 |
| 1013961408 | Pali Momi Medical Center | General Acute Care Hospital | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2006-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PALI MOMI MEDICAL CENTER | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 |
| Street Address |
98-1079 MOANALUA RD |
| City | AIEA |
| State | HI |
| Zip Code | 96701-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555449 | Lloyd T Kobayashi | Family Medicine | 98-1079 Moanalua Rd, Suite 450, Aiea, HI 96701-4713 | 2005-08-10 |
| 1639640683 | Jenna Corsi | Dietitian, Registered | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2018-12-16 |
| 1093241218 | Nina Ho Kayo | Family Medicine | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2017-05-08 |
| 1346602513 | Pali Momi | Clinic/Center | 98-1079 Moanalua Rd, Mob 640, Aiea, HI 96701-4713 | 2016-03-25 |
| 1770943680 | Yushiu Lin | Nurse Practitioner | 98-1079 Moanalua Rd, Suite 640, Aiea, HI 96701-4713 | 2016-03-04 |
| 1770966285 | Erlinda Riofta Infante | Registered Nurse | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-07-01 |
| 1245610377 | Martin Osorno | Dietitian, Registered | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-06-03 |
| 1740669894 | Brooke T. Yorita | Family Medicine | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-05-22 |
| 1679968804 | Amy Hui-jiun Tsang | Nurse Practitioner | 98-1079 Moanalua Rd, Suite 570, Aiea, HI 96701-4713 | 2015-04-03 |
| 1326430968 | Shayne Castanera Md Corp | Internal Medicine | 98-1079 Moanalua Rd, Aiea, HI 96701-4713 | 2015-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423516 | Deborah L Oshiro | Massage Therapist | 98-020 Kamehameha Hwy #206, Aiea, HI 96701 | 2020-10-08 |
| 1801407531 | Lana M Lipe | Social Worker | 99-040 Kauhale St Unit 729, Aiea, HI 96701 | 2020-08-14 |
| 1265043772 | Charissa Ono | Massage Therapist | 98-276 Ualo St. #l3, Aiea, HI 96701 | 2020-08-10 |
| 1548808173 | Kimberly Ervin | Behavior Technician | 98-543 Pono Street #a, Aiea, HI 96701 | 2019-12-13 |
| 1932744562 | Catherine O'connor, Np-c, LLC | Dermatology | 99-128 Aiea Heights Dr #110, Aiea, HI 96701 | 2019-11-06 |
| 1053974329 | Kaleo Emmsley | Driver | 99-1225 Aiea Hieghts Drive, Aiea, HI 96701 | 2019-04-22 |
| 1740780949 | East 2 West Integrative Medicine LLC | Acupuncturist | 98-199 Kamehameha Hwy Ste F3, Aiea, HI 96701 | 2018-02-14 |
| 1952821878 | Victoria Rivas | Behavior Technician | 99-870 Iwaena Street #101, Aiea, HI 96701 | 2017-06-21 |
| 1861850307 | Shanda Strickland | Behavioral Analyst | 98-820 Moanalua Rd Space 5, Pmb 161, Aiea, HI 96701 | 2016-01-28 |
| 1134591365 | Marissa Matsuyama | Optometrist | 99-128 Aiea Heights Dr Ste 703, Aiea, HI 96701 | 2015-10-27 |
| Find all providers in zip 96701 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1346309192 | Rehabprn Services Inc | Clinic/Center | 1221 Kapiolani Blvd Ste 6e, Honolulu, HI 96814-3513 | 2006-12-07 |
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| 1528042561 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani Street, Wailuku, HI 96793 | 2005-12-02 |
| 1437758190 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani St, Wailuku, HI 96793-1811 | 2020-10-22 |
| 1184245409 | Kauai Veterans Memorial Hospital | Clinic/Center | 2469 Puu Rd Ste C, Kalaheo, HI 96741-8509 | 2020-04-27 |
| 1285107698 | Ali'i Health Center | Clinic/Center | 78-6831 Alii Dr Ste 328, Kailua Kona, HI 96740-4408 | 2019-01-08 |
| 1023593043 | Aloha Integrative Healthcare LLC | Clinic/Center | 1150 S King St Ste 302, Honolulu, HI 96814-1951 | 2018-09-25 |
| 1063954634 | Mango Foundation, Inc. | Clinic/Center | 64-1032 Mamalahoa Hwy, Suite 306, Kamuela, HI 96743-8441 | 2016-11-14 |
| Find all providers with the same taxonomy | ||||
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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.