NPIMap

Organization Active NPI

Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
National Provider Identifier
1013961408
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
37-H Issued in HI
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
Last updated
Oct 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20040607000824 HI Part A Provider - Hospital 6406746916 Practice locations: Aiea, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013961408. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Sep 21, 1989 in HI
Enrollment address
98-1079 Moanalua Rd
Aiea, HI 96701-4713
Main/Primary Hospital Location
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 CenterCCN 120026 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0907093University Family Medicine at Pali Momi Med Ctr98-1005 Moanalua Rd, Suite 3030, Aiea, HI 96701Provider-performed microscopyDec 31, 2027
12D2252521University Women's Health at Pali Momi Medical Ctr98-1005 Moanalua Road, Suite 3010, Aiea, HI 96701Provider-performed microscopyFeb 10, 2028

National Provider Directory

National Provider Directory
Tax ID family
Pali Momi4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

98-1005 Moanalua Rd
Spc 4000
Aiea, HI 96701

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.

NameRoleSinceShare
Carrie Tsutsui Individual Corporate OfficerVP &System Controller Jun 1, 2020
Dean Tateyama Individual Corporate OfficerVP Reimbursement May 12, 2022
Dawn Dunbar Individual Corporate OfficerSr. VP Philanthrophy Mar 8, 2018
Emily Kuraoka Individual Corporate DirectorBoard Member Sep 21, 2017
Raquel Guss Curran Individual Corporate DirectorBoard Member Sep 21, 2025
Charles Ching Individual Corporate OfficerExec. VP Gen. Counsel & Secretary Sep 1, 2002
Jason M Isa Individual Corporate DirectorChief of Staff Jan 1, 2022
James C Lin Individual Corporate OfficerVP Information Technology Apr 10, 2020
Claire Tamamoto Individual Corporate DirectorBoard Member Sep 21, 2017
Owen T Chan Individual Corporate Director Sep 16, 2020
France R Graves Individual Corporate OfficerPrivacy Officer Feb 7, 2021
Jessica Lewis Individual Corporate OfficerAssistant Corporate Secretary Jan 24, 2008
Keoki Clemente Individual Corporate OfficerCompliance Officer Feb 15, 2025
Gloria Brooks Individual Corporate OfficerChief Operating Officer Mar 14, 2022
Operational/Managerial ControlChief Operating Officer Mar 14, 2022
Raymond Vara Individual Corporate OfficerPresident Feb 1, 2013
Peter Lewis Individual Corporate OfficerVP & Chief Information Sec. Officer Nov 11, 2021
Robyn Kalahiki Individual Corporate OfficerVP & Chief Nurse Executive Dec 26, 2021
Art Gladstone Individual Corporate OfficerExec VP & Chief Strategy Officer Jul 8, 2004
Scott Kurosawa Individual Corporate DirectorBoard Member Sep 20, 2018
Michelle Otake Individual Corporate DirectorBoard Member Sep 21, 2025
Hawaii Pacific Health Organization, Honolulu, HI Non-profit 5% Or Greater Direct Ownership Interest Sep 21, 1989 100%
David Stumbaugh Individual Corporate OfficerVP Supply Chain Management Mar 8, 2018
Lorrie-Ann Luke Individual Corporate OfficerVP Contracting Mar 10, 2016
Troy Branstetter Individual Corporate OfficerVice President General Services Aug 13, 2021
David Okabe Individual Corporate OfficerEvp/Cfo Jan 1, 2012
Shilpa J Patel Individual Corporate OfficerSr VP & Chief Quality Officer Nov 11, 2021
Mathew Loughlin Individual Corporate OfficerVP Hospital Operations May 1, 2022
Jan Boivin Individual Corporate OfficerSr VP HR & Org Effectiveness Aug 1, 2025
Terence Young Individual Corporate OfficerVP Operations Jul 1, 2025
John McNamara Individual Corporate OfficerSr. VP & Chief Marketing Officer Nov 11, 2021
Allen L Hixon Individual Corporate Director Jul 1, 2022
William Burke Individual Corporate OfficerVP Revenue Management Apr 10, 2020
Douglas Kwock Individual Corporate OfficerVice President Medical Affairs Jan 14, 2021
David Chow Individual Corporate OfficerVP Finance Jul 1, 2025
Michael Robinson Individual Corporate OfficerVP Govt Relations & Comm. Affairs Mar 10, 2016
Warren Chaiko Individual Corporate OfficerSr VP Design & Construction Aug 4, 2003
Emilio Aguzar Ganitano Individual Corporate DirectorBoard Member Dec 6, 2024
Leslie B Chun Individual Corporate OfficerExecutive Vice President 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.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

Affiliated clinicians 664

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 664

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

Verify at the official NPI Registry.