Samantha LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

11969 Issued in HI

Legal business name

SAMANTHA LLC

Practice address

75-5995 Kuakini Hwy
Suite 445
Kailua Kona, HI 96740-2144

Phone

(808) 326-2873

Fax

(808) 326-9530

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jane Sunga Castro, MD

Title

Physician Member

Phone

(808) 326-2873

Specialties & licenses 1

Addresses

Other names 1

• OHANA MEDICAL CARE Doing business as

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063575892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY",
            "address_2": "SUITE 445",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402144",
            "telephone_number": "808-326-2873",
            "fax_number": "808-326-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY",
            "address_2": "SUITE 445",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402144",
            "telephone_number": "808-326-2873",
            "fax_number": "808-326-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_middle_name": "SUNGA",
        "authorized_official_title_or_position": "PHYSICIAN MEMBER",
        "authorized_official_telephone_number": "808-326-2873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "11969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHANA MEDICAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Safeway Inc
• Robert K Saito, MD
• Ayako Sakuragi, PSY.D.
• Kacey J Salmans
• David Salt
• Timothy Samuel, LMT
• Ileana Sanchez, M.D.
• Vincent Sanekane
• Zachery Sanger
• Michael Sansone, D.C.

• Primary Care Clinic/Center in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.