NPIMap

Organization Active NPI

Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
National Provider Identifier
1235908831
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KALIHI PALAMA HEALTH CENTER
Practice address
431 Kuwili St
Honolulu, HI 96817-5051
Phone
(808) 210-5963
NPI assigned
Dec 22, 2023
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KALIHI-PALAMA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Emmanuel Kintu
Title
Executive Director/Ceo
Phone
(808) 791-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

431 Kuwili St
Honolulu, HI 96817-5051

Mailing address

PO Box 17460
Honolulu, HI 96817-0460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040414001002 HI Part B Supplier - Clinic/Group Practice 4284544842 Receives reassigned benefits from 60 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honolulu, HI
O20250812000630 HI Part A Provider - Federally Qualified Health Center (FQHC) 4284544842 Practice locations: Honolulu, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235908831. Details of each certification follow.

Federally qualified health center certification: CCN 121028

Legal name
KALIHI PALAMA HEALTH CENTER
Doing business as
KPHC PUNAWAI CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 12, 2025
Last certification
Aug 12, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
431 Kuwili Street
Mezzanine
Honolulu, HI 96817-5081

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kalihi Palama13 organizations share this tax ID, including this one
Part of
Kalihi Palama

Other organizations with this tax ID 12

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

Locations

101 N Pauahi St
Honolulu, HI 96817

1700 Lanakila Ave
Honolulu, HI 96817
Phone (808) 832-3823

350 Sumner St
Ste 101
Honolulu, HI 96817
Phone (808) 531-6322

431 Kuwili St
Fl 2
Honolulu, HI 96817
Phone (808) 210-5940

607 N King St
Honolulu, HI 96817

860 4th St
Pearl City, HI 96782
Phone (808) 453-5950

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diana Carris Individual Corporate OfficerCfo Apr 1, 2022
Christopher Pating Individual Corporate DirectorBoard Member Feb 16, 2011
Emmanuel Kintu Individual Corporate OfficerExecutive Director/Ceo Apr 24, 2006
W-2 Managing EmployeeExecutive Director/Ceo Apr 24, 2006
Russell Kaupu Individual Corporate DirectorBoard Member Feb 16, 2011
Darrin Sato Individual Corporate OfficerCoo Apr 24, 2005
Rosemarie V Mendoza Individual Corporate DirectorBoard Member May 13, 2009
Vernon Y Nakamura Individual Corporate DirectorBoard President Dec 8, 2011
Peter K Hanashiro Individual Corporate Director Dec 8, 2011
Clifford Chang Individual Corporate DirectorBoard Member Jul 12, 2000

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1235908831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17460",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968170460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 KUWILI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175051",
            "telephone_number": "808-210-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIHI PALAMA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KALIHI-PALAMA HEALTH CENTER",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "KINTU",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "808-791-6315"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.