KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (NPI# 1558583856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558583856 |
| Entity Type | Organization |
| Organization Name | KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES |
| Other Organization Name | KPT SATELLITE CLINIC |
| Practice Address |
1475 Linapuni St Bldg A Honolulu HI 96819-3569 |
| Mailing Address |
2239 N School St Honolulu HI 96819-2539 |
| Practice Telephone | 8087919400 |
| Practice Fax Number | 8088480979 |
| Mailing Telephone | 8087919400 |
| Mailing Fax Number | 8088480979 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | DR. DAVID DERAUF (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8087919400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
261QH0100X | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | MEDICARE ID | 121837 | 01 |
| HI | 00992101 | 05 |
| Other Name | Type Code |
|---|---|
| KPT Satellite Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548733397 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 3659 Kalihi St, Honolulu, HI 96819-3038 | 2019-01-04 |
| 1548521164 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2229 N School St, Honolulu, HI 96819-2588 | 2012-05-30 |
| 1689896953 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 1846 Gulick Avenue, Honolulu, HI 96819 | 2007-05-03 |
| 1851705255 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2239 N School St, Honolulu, HI 96819-2539 | 2014-06-13 |
| 1114074622 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2239 N School St, Honolulu, HI 96819-2539 | 2007-01-05 |
| Street Address |
1475 LINAPUNI ST BLDG A |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-3569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294205 | Jdmd Partners, LLP | Clinic/Center | 1150 S King St Ste 902, Honolulu, HI 96814-1922 | 2020-10-26 |
| 1497352322 | Paurx LLC | Clinic/Center | 3118 Monsarrat Ave, Honolulu, HI 96815-4466 | 2020-10-05 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1235606070 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 600 Kalanianaole Hwy, Suite 114a, Honolulu, HI 96825 | 2018-10-30 |
| 1164949558 | Queen's Development Corporation & Subsidiaries | Clinic/Center | 1380 Lusitana St Ste 804, Honolulu, HI 96813-2444 | 2017-08-25 |
| 1952839037 | Steelsmith Natural Health Center | Clinic/Center | 438 Hobron Ln Ste 314, Honolulu, HI 96815-1242 | 2017-06-01 |
| 1164828943 | Hawaii Advanced Medical Group, LLC | Clinic/Center | 1020 Keeaumoku St Ste 206, Honolulu, HI 96814-2003 | 2014-11-06 |
| 1982007712 | Kazue Tsukikawa Md LLC | Clinic/Center | 1441 Kapiolani Blvd Ste 1730, Honolulu, HI 96814-4407 | 2014-10-07 |
| 1922302389 | Dennis Rhatigan,dc,inc | Clinic/Center | 2347 Makanani Dr, Honolulu, HI 96817-2040 | 2010-12-28 |
| Find all providers in HONOLULU | ||||
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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.