Ka Wai Ola Family Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD13464 Issued in HI

Legal business name

KA WAI OLA FAMILY MEDICAL CLINIC, LLC

Practice address

94-849 Lumiaina St
Waikele Professional Center Suite #207
Waipahu, HI 96797-5025

Phone

(808) 286-7390

NPI assigned

Feb 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy S. Hiura, M.D.

Title

Partner/Owner

Phone

(808) 286-7390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Ka Wai Ola Family Medical Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ka Wai Ola Family Medical Clinic, LLC

  • Non-Pharmacy Dispensing Site
  • Waipahu, HI
  • NPI 1558706960
  NPD tax ID

Locations

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.

• Ka Wai Ola Family Medical Clinic, LLC

  • Non-Pharmacy Dispensing Site
  • Waipahu, HI
  • NPI 1558706960
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Ken Okamoto, MD

  • Family Medicine Physician
  • Waipahu, HI
  • NPI 1073596250
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233964800000",
    "number": "1023257524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "WAIKELE PROFESSIONAL CENTER SUITE #207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975025",
            "telephone_number": "808-286-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "WAIKELE PROFESSIONAL CENTER SUITE #207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975025",
            "telephone_number": "808-286-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA WAI OLA FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-07",
        "last_updated": "2009-02-07",
        "status": "A",
        "authorized_official_last_name": "HIURA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "808-286-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD13464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayne Kiyomi Judd
• Judith F Hernaez MD LLC
• Genaro B Julian
• Gerilyn Julian
• Justice Medical LLC
• Ka Wai Ola Family Medical Clinic, LLC
• Tiahana Kaawa
• Finau Kafoa
• Charlee Kahaunaele
• Seroza Kahue, RBT, ASSOCIATES

• Family Medicine Physician in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.