Organization Active NPI

Kahala Urgent Care Inc.

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1073558417
Registry record updated Sep 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KAHALA URGENT CARE INC.
Practice address
4218 Waialae Ave
106A
Honolulu, HI 96816-5321
Phone
(808) 735-0007
Fax
(808) 735-0021
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2011

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

Authorized official

Name
Dr. Robert P Ruggieri, MD
Title
President
Phone
(808) 735-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4218 Waialae Ave
106A
Honolulu, HI 96816-5321

Mailing address

4218 Waialae Ave
A106
Honolulu, HI 96816-5321
Phone (808) 735-0007

National Provider Directory

National Provider Directory

Locations

4218 Waialae Ave
#A106
Honolulu, HI 96816
Phone (808) 735-0007

4218 Waialae Ave
#106A
Honolulu, HI 96816
Phone (808) 735-0007

4218 Waialae Ave
Ste A106
Honolulu, HI 96816
Phone (808) 735-0007

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315612800000",
    "number": "1073558417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 WAIALAE AVE",
            "address_2": "A106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165321",
            "telephone_number": "808-735-0007",
            "fax_number": "808-735-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 WAIALAE AVE",
            "address_2": "106A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165321",
            "telephone_number": "808-735-0007",
            "fax_number": "808-735-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHALA URGENT CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2011-09-10",
        "status": "A",
        "authorized_official_last_name": "RUGGIERI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-735-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; 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.