KAISER FOUNDATION HEALTH PLAN, INC. (NPI# 1821164476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821164476 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN, INC. |
| Other Organization Name | KAISER PERMANENTE WAILUKU AMBULATORY SURGERY CENTER |
| Practice Address |
80 Mahalani St Wailuku HI 96793-2531 |
| Mailing Address |
711 Kapiolani Blvd Billing Department Honolulu HI 96813-5214 |
| Practice Telephone | 8082436000 |
| Practice Fax Number | 8082436627 |
| Mailing Telephone | 8084325312 |
| Mailing Fax Number | 8084325239 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | THOMAS J. RISSE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8084325276 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
HMF FSOF-10 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 579451 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente Wailuku Ambulatory Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1689138885 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 74-517 Honokohau St, Kailua Kona, HI 96740-2715 | 2019-01-22 |
| 1730643933 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2019-01-22 |
| 1497124812 | Kaiser Foundation Health Plan, Inc. | Clinical Medical Laboratory | 4366 Kukui Grove St, Suite 101, Lihue, HI 96766-2006 | 2015-09-15 |
| 1992122659 | Kaiser Foundation Health Plan, Inc. | Clinical Medical Laboratory | 98-1005 Moanalua Rd, Suite 1000, Aiea, HI 96701-4777 | 2014-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | KAISER FOUNDATION HEALTH PLAN, INC. | One Kaiser Plaza, Oakland, CA 94612 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN, INC. | One Kaiser Plaza, Oakland, CA 94612 |
| Connecticut Business Registrations | KAISER FOUNDATION HEALTH PLAN, INC. | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN, INC. | One Kaiser Plaza, Oakland, CA 94612 |
| Street Address |
80 MAHALANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053800 | Hillary Blake Hardy | Physical Therapist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-05-23 |
| 1437620515 | Heidi Kyoko Garcia | Clinical Nurse Specialist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2018-12-16 |
| 1275985111 | Kaiser Permanente | Clinic/Center | 80 Mahalani St, Wailuku, HI 96793-2531 | 2016-07-04 |
| 1033516687 | Cassandra Bick Johnson | Dietitian, Registered | 80 Mahalani St, Wailuku, HI 96793-2531 | 2014-11-25 |
| 1073888194 | Rainbow Dialysis LLC | Clinic/Center | 80 Mahalani St, Ste 100, Wailuku, HI 96793-2531 | 2012-03-22 |
| 1558633685 | Stephanie Hokulani Garcia | Registered Nurse | 80 Mahalani St, Wailuku, HI 96793-2531 | 2012-02-06 |
| 1376714451 | Benjamin T. Shurtleff | Urology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2008-03-17 |
| 1699964775 | Connie J Debord | Social Worker | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-10-15 |
| 1386843571 | Kristin M Redenbaugh | Obstetrics & Gynecology | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-07-17 |
| 1578769964 | Courtney Michelle Ramirez | Internal Medicine | 80 Mahalani St, Wailuku, HI 96793-2531 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669868600 | Aloha Eye Clinic Surgical Center LLC | Clinic/Center | 450 Hookahi Street, Wailuku, HI 96793 | 2015-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649721259 | Hawaii Vision Surgical Suites LLC | Clinic/Center | 392 Kapiolani St, Hilo, HI 96720 | 2016-10-18 |
| 1558753095 | Pacific Endoscopy Center LLC | Clinic/Center | 1401 S Beretania St Ste 200, Honolulu, HI 96814-1871 | 2015-02-20 |
| 1992915086 | Plastic Surgery Ctr of The Pac Inc | Clinic/Center | 677 Ala Moana Blvd Ste 1011, Honolulu, HI 96813-5471 | 2007-05-23 |
| 1841316841 | Pacific Endoscopy Center, LLC | Clinic/Center | 1029 Makolu Street, Suite H, Pearl City, HI 96782-2890 | 2007-03-21 |
| 1093830325 | Honolulu Spine Center, LLC | Clinic/Center | 500 Ala Moana Blvd Ste 301, Honolulu, HI 96813-4920 | 2007-03-19 |
| 1114985611 | Aloha Surgical Center LLC | Clinic/Center | 239 Hoohana St, Kahului, HI 96732-2452 | 2006-05-03 |
| 1821054412 | Hawaii Endoscopy Center LLC | Clinic/Center | 2226 Liliha Street, Suite 407, Honolulu, HI 96817 | 2006-04-24 |
| 1952366874 | Honolulu Surgery Center Lp | Clinic/Center | 500 Ala Moana Blvd, Tower 1 Suite 1b, Honolulu, HI 96813-4920 | 2006-04-20 |
| 1891759601 | Punahele Associates, LLC | Clinic/Center | 82 Puuhonu Place, Ste 100, Hilo, HI 96720-2010 | 2006-04-17 |
| 1336142884 | The Surgical Suites LLC | Clinic/Center | 1100 Ward Ave, Ste 1001, Honolulu, HI 96814-1617 | 2005-05-27 |
| 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.