KA WAI OLA FAMILY MEDICAL CLINIC, LLC


Address: 94-849 Lumiaina St, Unit 207, Waipahu, HI 96797-5677
Phone: 8086778222

KA WAI OLA FAMILY MEDICAL CLINIC, LLC (NPI# 1558706960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558706960
Entity Type Organization
Organization Name KA WAI OLA FAMILY MEDICAL CLINIC, LLC
Practice Address 94-849 Lumiaina St
Unit 207
Waipahu
HI 96797-5677
Mailing Address 2980 N Beverly Glen Cir
Suite 100
Los Angeles
CA 90077-1726
Practice Telephone 8086778222
Mailing Telephone 3104749809
Mailing Fax Number 8884318819
Enumeration Date 2013-04-30
Last Update Date 2015-10-05
Authorized Official Name DR. JAMES K. OKAMOTO (MEMBER)
Authorized Official Telephone 8086778222
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name KA WAI OLA FAMILY MEDICAL CLINIC, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023257524 Ka Wai Ola Family Medical Clinic, LLC Family Medicine 94-849 Lumiaina St, Waikele Professional Center Suite #207, Waipahu, HI 96797-5025 2009-02-07

Office Location

Street Address 94-849 LUMIAINA ST
UNIT 207
City WAIPAHU
State HI
Zip Code 96797-5677

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073596250 James Ken Okamoto Family Medicine 94-849 Lumiaina St, Waikele Professional Ctr, Suite 207, Waipahu, HI 96797-5025 2005-11-22
1750994745 Cherielyne Baldugo Pharmacist 94-849 Lumiaina St, Waipahu, HI 96797-5677 2020-08-28
1811327059 Jaco Rehab Waikele LLC Physical Therapist 94-849 Lumiaina St, Suite 101, Waipahu, HI 96797-5677 2013-11-26
1255632709 Gregory Manzo Behavioral Analyst 94-849 Lumiaina St, Waipahu, HI 96797-5677 2010-11-14
1619118825 Pacific Retina Care. LLC Ophthalmology 94-849 Lumiaina St, Suite 102, Waipahu, HI 96797-5025 2009-03-18
1023257524 Ka Wai Ola Family Medical Clinic, LLC Family Medicine 94-849 Lumiaina St, Waikele Professional Center Suite #207, Waipahu, HI 96797-5025 2009-02-07
1235256421 Drs Kuwabara Ishihara Ishimoto & Arakaki Optometrists Inc Optometrist 94-849 Lumiaina St, Suite 103, Waipahu, HI 96797-5677 2007-03-23
1639233448 Mark E Tafoya Ophthalmology 94-849 Lumiaina St, Suite 102, Waipahu, HI 96797-5025 2006-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891324471 Compcare, LLC Clinic/Center 94-997 Hanauna St 5f, Waipahu, HI 96797 2020-04-05
1205478625 Jason Lee Riessland Licensed Practical Nurse 94-450 Mokuola Street, Suite 100, Waipahu, HI 96797 2019-10-17
1942858246 James Jiro Horie Technician 94-732 Kuhaulua Pl., Waipahu, HI 96797 2019-08-29
1154987014 Joy Anne Ramos Mendoza Registered Nurse 94-216 Farrington Hwy B2-302, Waipahu, HI 96797 2019-05-16
1902382336 Enm Transportation LLC Non-emergency Medical Transport (VAN) 94-144 Kaaholo Place, Walpahu, HI 96797 2018-07-18
1104328418 Leia Reynolds Behavior Technician 94 849 Lumiaina St Unit 201, Waipahu, HI 96797 2018-03-02
1760980056 Janice Martineau Pharmacist 94 060 Farrington Hwy, Longs Pharmacy Dept, Waipahu, HI 96797 2018-02-01
1184131229 Kathleen Balallo Behavior Technician 94-513 Hiahia Loop, Waipahu, HI 96797 2018-01-10
1922515824 Bryan Spare Behavior Technician 94-1221 Ka Uka Blvd., Unit 108, #167, Waipahu, HI 96797 2018-01-02
1174039390 Yiana Burton Behavior Technician 94-1221 Ka Uka Blvd., Unit 108 #167, Waipahu, HI 96797 2017-12-26
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073077988 Clarence D Harkness Dpm Non-Pharmacy Dispensing Site 73 Puuhonu Pl Ste 105, Hilo, HI 96720-2060 2019-01-24
1104173764 Hawaii Whole Person Healing Collective, LLC Non-Pharmacy Dispensing Site 15-3039 Pahoa Village Rd, Pahoa, HI 96778-9677 2012-08-13
1295811636 Mankwan Wong, M.d., LLC Non-Pharmacy Dispensing Site 1750 Kalakaua Ave Ste 108, Honolulu, HI 96826-3700 2006-10-28
1871534735 Straub Clinic & Hospital Non-Pharmacy Dispensing Site 628 - B Seventh St, Lanai City, HI 96763 2006-06-09
1669803623 Susan M.s. Cauley, M.d., Inc. Non-Pharmacy Dispensing Site 82 Puuhonu Pl, Suite 202, Hilo, HI 96720-2010 2013-12-02
1902242449 Ken G. Sakuda, Dpm, LLC Non-Pharmacy Dispensing Site 321 N Kuakini St, Suite 801, Honolulu, HI 96817-2364 2013-05-10
1689019176 Glenn M. L. Pang, Md, Inc Non-Pharmacy Dispensing Site 2226 Liliha St, Suite 405, Honolulu, HI 96817-1600 2013-05-09
1306281068 Irene S. Kawakami Yamamoto, Md, Inc Non-Pharmacy Dispensing Site 1481 S King St, Suite 343, Honolulu, HI 96814-2601 2013-05-07
1730421934 Midori International, Inc Non-Pharmacy Dispensing Site 81-6629 Mamalahoa Hwy, Kealakekua, HI 96750-8184 2013-03-26
1164764957 Academy Foot Center of Hawaii, Inc Non-Pharmacy Dispensing Site 1329 Lusitana St, Suite 801, Honolulu, HI 96813-2429 2013-03-20
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Competitor

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City WAIPAHU
Zip Code 96797

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Dataset Information

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.

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