KAISER FOUNDATION HEALTH PLAN (NPI# 1972606473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972606473 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN |
| Other Organization Name | KAISER MOANALUA CLINIC RADIOLOGY |
| Practice Address |
3288 Moanalua Rd Radiology Department Honolulu HI 96819-1469 |
| Mailing Address |
711 Kapiolani Blvd Billing Department Honolulu HI 96813-5214 |
| Practice Telephone | 8084327341 |
| Practice Fax Number | 8084327340 |
| Mailing Telephone | 8084325312 |
| Mailing Fax Number | 8084325239 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-11-25 |
| 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 | 261QR0200X |
Clinic/Center Specialization: Radiology |
150623 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kaiser Moanalua Clinic Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326336041 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 81-6350 Mamalahoa Hwy, Kealakekua, HI 96750-8132 | 2011-07-14 |
| 1003934266 | Kaiser Foundation Health Plan | Health Maintenance Organization | 1001 Lakeside Ave, Suite 1200, Cleveland, OH 44114 | 2007-03-27 |
| 1114093895 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 10 Severance Circle, Cleveland Heights, OH 44118 | 2006-11-27 |
| 1407862030 | Kaiser Foundation Health Plan | Health Maintenance Organization | 711 Kapiolani Blvd, Honolulu, HI 96813-5237 | 2006-08-01 |
| 1992712202 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 56-565 Kamehameha Hwy, Kahuku, HI 96731-2202 | 2006-08-01 |
| 1679588057 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 74-517 Honokohau St, Kailua Kona, HI 96740 | 2006-07-31 |
| 1649285180 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 87-2116 Farrington Hwy, Waianae, HI 96792-3854 | 2006-07-31 |
| 1285649665 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 67-1185 Mamalahoa Hwy Unit A, Parker Ranch Shopping Center, Kamuela, HI 96743-8412 | 2006-07-31 |
| 1801329800 | Kaiser Foundation Health Plan | Health Maintenance Organization | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2017-04-06 |
| 1376093252 | Kaiser Foundation Health Plan | Clinic/Center | 275 Hospital Pkwy, San Jose, CA 95119-1106 | 2016-10-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KAISER FOUNDATION HEALTH PLAN | 393 E Walnut St, Pasadena, CA 91188-0001 |
| Colorado Business Entities | Kaiser Foundation Health Plan | 1942 Broadway St. Ste 314c, Boulder, CO 80302 |
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Colorado Business Entities | KAISER FOUNDATION HEALTH PLAN OF COLORADO | One Kaiser Plaza, Oakland, CA 94612 |
| Connecticut Business Registrations | KAISER FOUNDATION HEALTH PLAN OF CONNECTICUT,INC. | 1 Chp Plaza, Latham, NY 12110 |
| Virginia Business Entities | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC. | 1 Kaiser Plz, Oakland, California 94612-3610 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. | 1 Kaiser Plz, Oakland, CA 94612-3610 |
| Oregon Corporations, Companies and Business Names | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | One Kaiser Plaza, Oakland, CA 94612 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 601 Union St #3100, Seattle, WA 98101 |
| Street Address |
3288 MOANALUA RD RADIOLOGY DEPARTMENT |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556124 | Richard Edward Shields | Pharmacist | 3288 Moanalua Rd, Kaiser Permanente Hawaii, Honolulu, HI 96819 | 2005-05-24 |
| 1629681838 | Beatrice Xiaoying Huang | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-26 |
| 1962014274 | Melissa Kobayakawa | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-08-18 |
| 1952910325 | Ashley Mccormick | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-07-30 |
| 1891322863 | Elizabeth Mathew | Physical Therapist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-03-26 |
| 1548893456 | Dominique Lee | Student in an Organized Health Care Education/Training Program | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2020-02-19 |
| 1861035230 | Mikaela Jazmin Pecson Sampayan | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-10-17 |
| 1598316820 | Ben Korthas | Radiology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-09-27 |
| 1033764808 | Rebecca Knight | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-08-07 |
| 1275187007 | Chelsea Tasaka | Pharmacist | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2019-07-30 |
| Find all providers in the same location | ||||
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265490338 | St Francis Imaging LLC | Clinic/Center | 2230 Liliha Street, Honolulu, HI 96817 | 2006-05-01 |
| 1245587500 | Romeo P. Pineda M.d., Inc. | Clinic/Center | 1712 Liliha St Ste 205, Honolulu, HI 96817-3100 | 2012-08-06 |
| 1952591430 | Radiation Oncology Associates,inc. | Clinic/Center | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-07-31 |
| 1356464192 | Kaiser Foundation Health Plan | Clinic/Center | 2828 Paa St, Honolulu, HI 96819-4405 | 2007-04-09 |
| 1063515567 | Kaiser Foundation Health Plan | Clinic/Center | 1010 Pensacola St, Radiology Department, Honolulu, HI 96814-2118 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982919593 | Austin Radiological Association | Clinic/Center | 970 North Kalaheo Avenue, Suite A-307, Kailua, HI 96734-1870 | 2010-08-09 |
| 1215069430 | The Radiology Group Inc. | Clinic/Center | 94-800 Ukee Street, Suite 303, Waipahu, HI 96797 | 2007-03-12 |
| 1962885277 | Wailea Imaging Center | Clinic/Center | 100 Wailea Ike Dr, Kihei, HI 96753-9524 | 2015-07-06 |
| 1386767135 | Kaiser Foundation Health Plan | Clinic/Center | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2007-04-09 |
| 1174646939 | Kaiser Foundation Health Plan | Clinic/Center | 1279 S Kihei Rd Ste 120, Kihei, HI 96753-5222 | 2007-04-09 |
| 1861523367 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-03-08 |
| 1194820472 | Kaiser Foundation Health Plan | Clinic/Center | 94-1480 Moaniani St, Radiology Department, Waipahu, HI 96797-4632 | 2006-09-13 |
| 1700980364 | Kaiser Foundation Health Plan | Clinic/Center | 80 Mahalani St, Radiology Department, Wailuku, HI 96793-2531 | 2006-09-12 |
| 1225132947 | Kaiser Foundation Health Plan | Clinic/Center | 87-2116 Farrington Hwy, Radiology Department, Waianae, HI 96792-3854 | 2006-09-12 |
| 1508960634 | Kaiser Foundation Health Plan | Clinic/Center | 910 Wainee St, Radiology Department, Lahaina, HI 96761-1622 | 2006-09-11 |
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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.