NPIMap

Organization Active NPI

Keiki Korner Pediatrics

  • Primary Care Clinic/Center
  • Kapolei, HI
National Provider Identifier
1205112109
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
12344 Issued in HI
Legal business name
KEIKI KORNER PEDIATRICS
Practice address
1001 Kamokila Blvd
Suite 197
Kapolei, HI 96707-2014
Phone
(808) 674-9600
Fax
(808) 674-9700
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Dr. Leila M Agullana, M.D.NPI 1225111776
Title
Owner
Phone
(808) 674-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 12344 HI Primary

Addresses

Primary practice location

1001 Kamokila Blvd
Suite 197
Kapolei, HI 96707-2014

Mailing address

1001 Kamokila Blvd
Suite 197
Kapolei, HI 96707-2014
Phone (808) 674-9600

National Provider Directory

National Provider Directory

Locations

1001 Kamokila Blvd
Ste 197
Kapolei, HI 96707
Phone (808) 674-9600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13641/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1205112109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 197",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-9600",
            "fax_number": "808-674-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 KAMOKILA BLVD",
            "address_2": "SUITE 197",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-674-9600",
            "fax_number": "808-674-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIKI KORNER PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "AGULLANA",
        "authorized_official_first_name": "LEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-674-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "12344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.