Active NPI
Kahanaaloha Pomaikai Kuikahi
- Student in an Organized Health Care Education/Training Program
- San Mateo, CA
National Provider Identifier
1043567043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 225 37TH Ave
3Rd Floor
San Mateo, CA 94403-4324 - Phone
- (808) 430-0377
- NPI assigned
- Aug 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | HI | Primary |
Addresses
Primary practice location
225 37TH Ave
3Rd Floor
San Mateo, CA 94403-4324
Mailing address
120 E Remington Dr
#208
Sunnyvale, CA 94087-2654
Phone (808) 430-0377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210818001722 | HI | Practitioner - Clinical Psychologist | 5092110783 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-1855
PO Box
Suite 487
Waimea, HI 96796
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoola Lahui Hawaii | Current | Accepting new patients | |
| Hoola Lahui Hawaii | Current | Accepting new patients | |
| Ho Ola Lahui Hawai I | Past | Accepting new patients |
Locations
4800 Kawaihau Rd
Ste D
Kapaa, HI 96746
Phone (808) 240-0170
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCFFAA/Endpoint/FCFFAA
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Kapaa, HI
- NPI 1891098513
-
- Family Medicine Physician
- Lihue, HI
- NPI 1730828179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1043567043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E REMINGTON DR",
"address_2": "#208",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940872654",
"telephone_number": "808-430-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 37TH AVE",
"address_2": "3RD FLOOR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034324",
"telephone_number": "808-430-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUIKAHI",
"first_name": "KAHANAALOHA",
"middle_name": "POMAIKAI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "HI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.