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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
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 |
Street Address |
94-849 LUMIAINA ST UNIT 207 |
City | WAIPAHU |
State | HI |
Zip Code | 96797-5677 |
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 |
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 |
Find all providers in zip 96797 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
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] |
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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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.