Active NPI
Pali Momi Medical Center
- General Acute Care Hospital
- Aiea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 37-H
- Legal business name
- PALI MOMI MEDICAL CENTER
- Practice address
- 98-1079 Moanalua Rd
Aiea, HI 96701-4713 - Phone
- (808) 486-6000
- NPI assigned
- May 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Okabe
- Title
- Cfo, Sr. Vice President
- Phone
- (808) 535-7202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 37-H | HI | Primary |
Addresses
Primary practice location
98-1079 Moanalua Rd
Aiea, HI 96701-4713
Mailing address
1946 Young St Ste 320
Honolulu, HI 96826-2150
Phone (808) 973-7320
Other practice location 1
98-1005 Moanalua Rd Spc 4000
Aiea, HI 96701-4734
Phone (808) 486-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040607000824 | HI | Part A Provider - Hospital | 6406746916 | Practice locations: Aiea, HI |
Hospital certification: CCN 120026
- Legal name
- PALI MOMI MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Aug 16, 1989
- Last certification
- Jul 3, 1997
- Beds
- 116
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation
- Incorporated
- Sep 21, 1989 in HI
- Enrollment address
- 98-1079 Moanalua Rd
Aiea, HI 96701-4713 - Hospital subgroups
- Acute care
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Hospital
Medicare Care Compare- Listed as
- Pali Momi Medical Center
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D0907093 | University Family Medicine at Pali Momi Med Ctr | Provider-performed microscopy | Dec 31, 2027 |
| 12D2252521 | University Women'S Health at Pali Momi Medical Ctr | Provider-performed microscopy | Feb 10, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Pali Momi Medical Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Aiea, HI
- NPI 1346602513
-
- Community/Retail Pharmacy
- Aiea, HI
- NPI 1851364731
-
- Institutional Pharmacy
- Aiea, HI
- NPI 1952508921
Locations
98-1005 Moanalua Rd
Spc 4000
Aiea, HI 96701
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
1946 Young St
Ste 320
Honolulu, HI 96826
Ownership & related parties
All disclosed owners & managing parties 38
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carrie Tsutsui | Corporate Officer | Jun 1, 2020 | |
| Dean Tateyama | Corporate Officer | May 12, 2022 | |
| Dawn Dunbar | Corporate Officer | Mar 8, 2018 | |
| Emily Kuraoka | Corporate Director | Sep 21, 2017 | |
| Raquel Guss Curran | Corporate Director | Sep 21, 2025 | |
| Charles Ching | Corporate Officer | Sep 1, 2002 | |
| Jason M Isa | Corporate Director | Jan 1, 2022 | |
| James C Lin | Corporate Officer | Apr 10, 2020 | |
| Claire Tamamoto | Corporate Director | Sep 21, 2017 | |
| Owen T Chan | Corporate Director | Sep 16, 2020 | |
| France R Graves | Corporate Officer | Feb 7, 2021 | |
| Jessica Lewis | Corporate Officer | Jan 24, 2008 | |
| Keoki Clemente | Corporate Officer | Feb 15, 2025 | |
| Gloria Brooks | Corporate Officer | Mar 14, 2022 | |
| Operational/Managerial Control | Mar 14, 2022 | ||
| Raymond Vara | Corporate Officer | Feb 1, 2013 | |
| Peter Lewis | Corporate Officer | Nov 11, 2021 | |
| Robyn Kalahiki | Corporate Officer | Dec 26, 2021 | |
| Art Gladstone | Corporate Officer | Jul 8, 2004 | |
| Scott Kurosawa | Corporate Director | Sep 20, 2018 | |
| Michelle Otake | Corporate Director | Sep 21, 2025 | |
| Hawaii Pacific Health | 5% Or Greater Direct Ownership Interest | Sep 21, 1989 | 100% |
| David Stumbaugh | Corporate Officer | Mar 8, 2018 | |
| Lorrie-Ann Luke | Corporate Officer | Mar 10, 2016 | |
| Troy Branstetter | Corporate Officer | Aug 13, 2021 | |
| David Okabe | Corporate Officer | Jan 1, 2012 | |
| Shilpa J Patel | Corporate Officer | Nov 11, 2021 | |
| Mathew Loughlin | Corporate Officer | May 1, 2022 | |
| Jan Boivin | Corporate Officer | Aug 1, 2025 | |
| Terence Young | Corporate Officer | Jul 1, 2025 | |
| John McNamara | Corporate Officer | Nov 11, 2021 | |
| Allen L Hixon | Corporate Director | Jul 1, 2022 | |
| William Burke | Corporate Officer | Apr 10, 2020 | |
| Douglas Kwock | Corporate Officer | Jan 14, 2021 | |
| David Chow | Corporate Officer | Jul 1, 2025 | |
| Michael Robinson | Corporate Officer | Mar 10, 2016 | |
| Warren Chaiko | Corporate Officer | Aug 4, 2003 | |
| Emilio Aguzar Ganitano | Corporate Director | Dec 6, 2024 | |
| Leslie B Chun | Corporate Officer | Apr 10, 2020 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Anatomic Pathology & Clinical Pathology Physician
- Aiea, HI
- NPI 1629309620
Corporate Director
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1891740809
Corporate Director
-
- Anesthesiology Physician
- Honolulu, HI
- NPI 1245269430
Corporate Director
Facilities with the same owner 3
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
Hawaii Pacific Health
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
Hawaii Pacific Health
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Retail Pharmacy
- Aiea, HI
- NPI 1851364731
Practitioners & affiliated clinicians
Practitioners 107
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Honolulu, HI
- NPI 1548449218
-
- Family Medicine Physician
- Tripler Army Medical Center, HI
- NPI 1689781718
-
- Family Medicine Physician
- Aiea, HI
- NPI 1114589900
-
- Surgery Physician
- Aiea, HI
- NPI 1598816043
-
- Family Medicine Physician
- Mililani, HI
- NPI 1144219775
-
- Family Medicine Physician
- Mililani, HI
- NPI 1306826151
-
- Family Medicine Physician
- Waianae, HI
- NPI 1134619083
-
- Family Medicine Physician
- Mililani, HI
- NPI 1700176179
-
- Family Medicine Physician
- Oak Lawn, IL
- NPI 1912949025
-
- Family Medicine Physician
- Portland, OR
- NPI 1396240628
-
- Surgery Physician
- Chicago, IL
- NPI 1598915910
-
- Registered Dietitian
- Aiea, HI
- NPI 1891270138
Affiliated clinicians 664
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Honolulu, HI
- NPI 1548449218
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1013961408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1946 YOUNG ST STE 320",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968262150",
"telephone_number": "808-973-7320",
"fax_number": "808-973-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD",
"city": "AIEA",
"state": "HI",
"postal_code": "967014713",
"telephone_number": "808-486-6000"
}
],
"practiceLocations": [
{
"address_1": "98-1005 Moanalua Rd Spc 4000",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967014734",
"country_code": "US",
"telephone_number": "808-486-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PALI MOMI MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "OKABE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO, SR. VICE PRESIDENT",
"authorized_official_telephone_number": "808-535-7202",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "HI",
"license": "37-H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.